An uncommon case of urethrovaginal fistula resulting from tension-free vaginal tape.
Urethrovaginal fistula (UVF) is an uncommon complication after sub-urethral sling placement. This is a report of a 51-year-old woman with stress urinary incontinence who underwent a tension-free vaginal tape (TVT(R)) in July 2001. Thirty-nine months after the procedure, she complained about pelvic and vaginal pain, bleeding from the vagina and stress urinary incontinence. The gynecological examination revealed a large mid UVF hidden by a 1 cm granuloma. The UVF was closed using simple sutures after removal of the sling. No subsequent treatment was performed.
Estevez
Juan Pablo
JP
Department of Gynaecology and Obstetrics, Lille University Hospital, 59037, Lille CEDEX, France. pablopenap@yahoo.fr
Cosson
Michel
M
Boukerrou
Malik
M
D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings / Q000009:adverse effects*; D014522:Urethral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D014624:Vaginal Fistula / Q000209:etiology*