Urethral erosion of tension-free vaginal tape.
Tension-free vaginal tape (TVT) is gaining popularity as a treatment of choice for women with stress urinary incontinence. It is a minimally invasive procedure with reported short operative and postoperative hospitalization times and low complication rates. We describe urethral erosion of a TVT sling material in a 55-year-old woman who presented with immediate postoperative urinary retention. The sling material was surgically removed and the urethral defect repaired, with the patient continent at the 3-month follow-up visit. A mid-urethral synthetic sling such as the TVT can erode into the urethra.
Madjar
Shahar
S
Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Tchetgen
Marie Blanche
MB
Van Antwerp
Amy
A
Abdelmalak
Joseph
J
Rackley
Raymond R
RR
D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D013526:Surgical Mesh / Q000009:adverse effects*; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology* / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D014621:Vagina