Transurethral resection of tension-free vaginal tape under tactile traction.
Urethral erosion is a rare complication after the tension-free vaginal tape (TVT) procedure. Surgical management of this complication is challenging due to the potential for significant patient morbidity. A 50-year-old patient presented with lower urinary tract symptoms (LUTS) and incomplete voiding, 6 years after a TVT procedure performed for stress incontinence. An attempt at cystoscopy revealed an almost complete occlusion of the urethral lumen by a urethral erosion of the polypropylene mesh. A transurethral resection was performed under tactile traction. This procedure is a minimally invasive approach that avoids the need for a transvaginal procedure. Careful cystourethroscopy should be performed in patients presenting with new lower LUTS after TVT in order to avoid a delay in diagnosing a mesh erosion.
Quiroz
Lieschen H
LH
Department of Obstetrics and Gynecology, Oklahoma University Health Sciences Center, 920 SL Young, WP 2430, Oklahoma City, OK 73034, USA. Lieschen-quiroz@ouhsc.edu
Cundiff
Geoffrey W
GW
D004868:Equipment Failure; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods*; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014555:Urination Disorders / Q000209:etiology* / Q000601:surgery*