title: Late postoperative urinary stress incontinence after a laparoscopic-assisted Vecchietti procedure for neovagina creation in a patient with Rokitansky syndrome: successful treatment with the TVT-O technique.
abstract: A case report of urinary stress incontinence after surgery in a 20-year-old patient with Mayer-Rokitansky-Küster-Hauser syndrome is presented. A neovagina was successfully created with a laparoscopic-assisted Vecchietti procedure. Fifteen months later, after normal and satisfactory sexual intercourse, the patient was seen for stress urinary incontinence. A second surgery consistent with the transobturator tension-free vaginal tape (TVT) system with nonelastic polypropylene suburethral TVT allowed full correction of the urinary symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, Clínica Las Condes, Las Condes, Chile. mbianchi@clinicalascondes.cl
authors.forename: Marcelo
authors.initials: M
authors.lastname: Bianchi
authors.forename: Vicente
authors.initials: V
authors.lastname: Sola
authors.forename: Paolo
authors.initials: P
authors.lastname: Ricci
authors.forename: Cristian
authors.initials: C
authors.lastname: Pomes
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D053825:Suburethral Slings; D019738:Surgically-Created Structures / Q000009:adverse effects; D013577:Syndrome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery