Urethral erosion of a tension-free vaginal tape.
BACKGROUND
Urethral dilation has been recommended to treat voiding dysfunction that may occur after placement of tension-free vaginal tape (TVT) for the treatment of stress urinary incontinence. We report on a case of urethral erosion by the tape secondary to repetitive urethral dilations after surgery.


METHODS
A urethral erosion by the tape was diagnosed by cystoscopy after three urethral dilations failed to resolve postoperative voiding dysfunction 8 weeks after the initial procedure. A partial tape revision with repair of the urethrotomy was performed, with resolution of the subject's voiding dysfunction.


CONCLUSIONS
This report describes a potential complication of a recommended treatment for voiding dysfunction after placement of TVT.
Seton Center for Advanced Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio, USA. bvassall@babies.bsd.uchicago.edu
Brett J
BJ
Vassallo
Steven D
SD
Kleeman
Jeffrey
J
Segal
Mickey M
MM
Karram
D000328:Adult; D004106:Dilatation / Q000009:adverse effects* / Q000295:instrumentation; D004868:Equipment Failure; D005260:Female; D006801:Humans; D014522:Urethral Diseases / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*