[Bladder erosion few years after TVT procedure].
The surgical treatment of the stress urinary incontinence mainly use tension free vaginal tape done through the Retzius space: a case of bladder erosion occurring 5 years after a TVT (Gynecare-Ethicon, USA) procedure is reported. First clinical signs occur 2 years after the operation and the removal of the tape (included in the muscle of the bladder) by vaginal and sus-pubic route was necessary 5 years later because the quality of life was dramatically altered. This complication could be related to the patient (past hysterectomy, history of fibrosis surrounding a mammary implant, Gougerot-Sjögren disease) or to the surgeon with a technical defect during the TVT procedure. The late complications of TVT procedure should be recorded in a national register.
Quereux
F
F
Département de Gynécologie Obstétrique et Médecine de la Reproduction, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 02, France.
Morcel
K
K
Landréat
V
V
Beauville
E
E
Quereux
C
C
Levêque
J
J
D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D019919:Prosthesis Implantation; D011788:Quality of Life; D001743:Urinary Bladder / Q000473:pathology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects* / Q000379:methods*