title: Transobturator tape, bladder perforation, and paravaginal defect: a case report.
abstract: Transobturator midurethral slings (TOT) have been shown to have less risk of vascular and visceral injury than tension-free midurethral slings. Routine cystoscopy has therefore not been felt to be necessary. A case of bladder perforation unrecognized at the time of TOT placement is presented. Findings at sling removal suggested that a clinically nonapparent paravaginal defect may have been instrumental in the injury. Consideration should be given to routine cystoscopy at the time of transobturator sling placement.
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030, USA. ppsmith@bcm.tmc.edu
authors.forename: Phillip P
authors.initials: PP
authors.lastname: Smith
authors.forename: Rodney A
authors.initials: RA
authors.lastname: Appell
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D001743:Urinary Bladder / Q000293:injuries*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000293:injuries*