Prepubic abscess related to retropubic sling sutures placed 18 years earlier

Excerpt

A 61-year-old woman was admitted for the management of a prepubic abscess. The patient had a history of an anterior vaginal wall sling 18 years previously, with an autologous fascial sling 1 year later for recurrent stress incontinence. Eight months before presentation, she was referred to another urologist for urge incontinence and an incidental bladder mass noted on pelvic CT. Cystoscopy revealed an anterior bladder wall mass and transurethral resection demonstrated chronic inflammation and associated suturing, with no evidence of malignancy. The patient’s urge incontinence persisted, prompting repeat cystoscopy 6 months after surgery, which was negative. Two weeks following this procedure, the patient developed pelvic pain and fevers. Imaging obtained at presentation demonstrated a prepubic abscess (Fig. 1), at which point we were consulted.

…