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Int Urogynecol J Pelvic Floor Dysfunct. 2008 Apr;19(4):599-601. Epub 2007 Oct 10.

Rectocutaneous fistula: a rare complication of the posterior intravaginal sling.

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  • 1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Niao Sung Hsiang, Kaohsiung, Taiwan.


The posterior intravaginal sling (IVS) is a device used to correct apical vaginal prolapse; there are limited data on associated complications. We present a case report of a rectocutaneous fistula forming after placement of a posterior IVS in a 59-year-old woman 2 months postoperatively. The sling was resected during sigmoidoscopy with scissors, and the colon laceration was closed. The buttock wound underwent delayed healing 2 weeks later. More data regarding complications associated with use of this device are needed before widespread use.

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