Endoscopic treatment of vesical and urethral perforations after tension-free vaginal tape (TVT) procedure for female stress urinary incontinence.
Stress urinary incontinence is a problem that is prevalent in women, and its treatment with minimally invasive techniques using synthetic materials has increased recently, although the procedure has also brought increased occurrence of specific complications such as vesical and urethral perforations. We describe 11 cases of endoscopic correction of vesical and urethral perforations due to the use of synthetic material for the treatment of stress urinary incontinence.


METHODS
Eleven patients were treated for complications after undergoing the TVT(R) (tension-free vaginal tape) procedure; 6 of them had the polypropylene tape inside the bladder, and 5 had erosion of the urethra. Endoscopic resection of the polypropylene tapes was performed on all patients.


RESULTS
A 6-month follow-up with cystoscopic control showed that the procedures were successful with complete relief of the symptoms except for 1 patient who persisted with the polypropylene tape in the bladder. This patient underwent a new endoscopic resection, and the cystoscopic control exam was normal 3 months later.


CONCLUSIONS
Endoscopic resection of intravesical and intraurethral synthetic tapes can be considered a good alternative for the treatment of complications resulting from the TVT procedure.
Baracat
Fabio
F
Division of Clinical Urology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, Brazil.
Mitre
Anuar Ibrahim
AI
Kanashiro
Hideki
H
Montellato
Nelson Ileo Dias
NI
D003558:Cystoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011126:Polypropylenes; D011183:Postoperative Complications; D013526:Surgical Mesh; D014521:Urethra / Q000293:injuries / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*
D011126:Polypropylenes