The relationship of the in-situ advancing vaginal wall sling to vaginal epithelial inclusion cyst

Epithelial inclusion cyst is an under recognized complication of the in-sit u advancing vaginal wall sling. A 63-year-old woman with stage I pelvic org an prolapse and mixed incontinence underwent in-situ sling placement in Nov ember 1997. In February 1998 she presented with a painful recurrent inflamm atory anterior vaginal wall mass. The mass was cystic and drained spontaneo usly four times over the period of conservative management. The patient und erwent resection of a clinical and pathological vaginal epithelial inclusio n cyst in September 1998. At 6-month follow-up the patient remains continen t and the cyst has not reformed. The vaginal surgeon should be aware of the potential for epithelial inclusion cyst formation after in-situ sling plac ement, and actively search for them at postoperative examination.