RECURRENT INFECTION OF ANTERIOR WALL OF VAGINAL AFTER POP SURGERY USING MESH IN FIRST AFFILIATED HOSPITAL OF DALIAN MEDICAL UNIVERSITY, CHINA

Tesfaye Z. Weldegiorgis,*(PhD) and Abdelhakam G. Tamomh(PhD)

ABSTRACT

A 47-year-old woman presented with the complaints of vaginal pain for 8 months. Nine months before her presentation, she got III degree pelvic organ prolapse (Ba) and stress urinary incontinence (moderate); and underwent anterior vaginal wall repair (patch) + Trans vaginal tape obturator (TVT-O) respectively. The pelvic examination, sim’s speculum examination and bimanual examination were done at the time of admission. The Laboratory investigations including bacterial count (BACT), Red blood cell count (RBC) and white blood cell count (WBC). U/S and cystoscopic examination done, no abnormality of bladder seen. The patient was diagnosed with vaginal wall abscess. The cyst was removed and She has given an anti-biotic, a moxifloxacin. On the seventh post-operative day, the pain, burning and incomplete bladder emptying were under control to allow the patient to walk and she was discharged after a couple of days. The woman backed to the hospital with aggravated vaginal pain during maturation. Laboratory investigation showed an elevation of bacterial count. The physical examination was otherwise normal. Considering the persistent vaginal pain was counseled to undergo urethrocystoscopy which showed the integrity of cyst that grew around the urethra and considered to be urethral gland cyst. The cyst was then removed by cystoscopic urethral gland cyst resection and electro tome excision.

Keywords: Mesh, urethral gland cyst, urethrocystocopy, POP.