Martius graft for the management of tension-free vaginal tape vaginal erosion.
BACKGROUND
The tension-free vaginal tape (TVT) procedure has become standard for the treatment of stress urinary incontinence in women. The procedure carries a risk of vaginal erosion and exposure of the mesh. When this occurs, most surgeons recommend removal of the tape for immediate relief of symptoms. However, this poses a risk of recurrence of urinary incontinence.


METHODS
A premenopausal woman had an exposed vaginal mesh after a TVT procedure. After failed conservative treatment, she was treated successfully using a Martius graft, with preservation of the mesh.


CONCLUSIONS
The Martius procedure was a practical alternative for treating this patient with synthetic-mesh-induced vaginal erosion. It allowed preservation of the sling, thereby preventing recurrence of urinary incontinence.
Al-Wadi
Khalid
K
From the Division of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Al-Badr
Ahmed
A
D000328:Adult; D004868:Equipment Failure; D005260:Female; D006801:Humans; D012086:Reoperation; D053825:Suburethral Slings / Q000009:adverse effects*; D013524:Surgical Flaps; D014549:Urinary Incontinence / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D014844:Vulva / Q000601:surgery*