TVT erosion secondary to a twist in tape.
Mesh erosions through vaginal mucosa as well as the urethra following TVT procedures have been reported but are rare. We report a case of a 50-year-old woman who was found to have mesh erosion through vaginal mucosa 8 weeks after her TVT procedure, apparently secondary to a twist in the tape. Excision of approximately 5 mm of tape encompassing the twist was accomplished without difficulty, and allowed for complete healing of the vaginal mucosa and resolution of the patient's pain and irritative voiding symptoms.
Dell
Jeffrey R
JR
Institute for Female Pelvic Medicine, 9430 Parkwest Blvd. #320, Knoxville, TN 37923, USA. nyeomans@covhlth.com
O'Kelley
Kenneth R
KR
D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology*; D013526:Surgical Mesh / Q000009:adverse effects*; D013520:Urologic Surgical Procedures / Q000295:instrumentation*; D014621:Vagina / Q000293:injuries* / Q000601:surgery*