Necrotizing fasciitis after tension-free vaginal tape (TVT) placement

Int Urogynecol J Pelvic Floor Dysfunct. 2003 Oct;14(4):291-3. doi: 10.1007/s00192-003-1064-1. Epub 2003 Aug 1.

Abstract

A 62-year-old homemaker underwent an uneventful TVT (tension-free vaginal tape) procedure. Eleven days postoperatively she presented to the Emergency Department with agonizing low abdominal pain, elbow pain, fever, and drainage from her suprapubic puncture sites. Her evaluation was consistent with a diagnosis of necrotizing fasciitis and she was started on antibiotics and taken to surgery for exploration and debridement, where the diagnosis was confirmed. This is the first report of necrotizing fasciitis following TVT placement.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents
  • Combined Modality Therapy
  • Debridement / methods
  • Drug Therapy, Combination / therapeutic use
  • Fasciitis, Necrotizing / diagnosis
  • Fasciitis, Necrotizing / etiology*
  • Fasciitis, Necrotizing / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Plastic Surgery Procedures / adverse effects*
  • Plastic Surgery Procedures / methods
  • Postoperative Complications
  • Risk Assessment
  • Severity of Illness Index
  • Surgical Mesh
  • Treatment Outcome
  • Urinary Incontinence, Stress / diagnosis
  • Urinary Incontinence, Stress / surgery*

Substances

  • Anti-Bacterial Agents