Pj. Woodman et Gd. Davis, The relationship of the in-situ advancing vaginal wall sling to vaginal epithelial inclusion cyst, INT UROGYN, 11(2), 2000, pp. 124-126
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.