Bilateral bladder erosion of a transobturator tape mesh.
BACKGROUND
The transobturator tape procedure is reported to be an effective procedure with low complication rates.


METHODS
A 45-year-old woman underwent surgery for prolapse and incontinence. The surgery included transobturator tape. Intraoperative cystoscopy was not performed. Postoperatively, a mesh erosion into the bladder on the left side and a large cystocele were diagnosed. The patient underwent a combined transurethral and suprapubic mesh resection. Six months later, she had another mesh erosion on the contralateral side. This time, a complete vaginal resection of the mesh was performed.


CONCLUSIONS
Intraoperative cystoscopy should be considered after a transobturator tape procedure. Bilateral mesh erosion may result from motion of a cystocele against a fixed transobturator tape. Concurrent repair of the cystocele to prevent future mesh erosions may be warranted.
Parekh
Mitesh H
MH
Division of Urogynecology, Department of Obstetrics and Gynecology, Geisinger Health Systems, Danville, PA 17822, USA.
Minassian
Vatche A
VA
Poplawsky
Deborah
D
D003558:Cystoscopy; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D013526:Surgical Mesh; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D014596:Uterine Prolapse / Q000601:surgery*