title: Bladder injury during trans-obturator tape surgery in a patient with previous colposuspension: is there a connection?
abstract: OBJECTIVE
  Bladder injuries are quite rare and complex complications of transobturator tapes in the treatment of female  stress urinary incontinence, with very few published cases. The authors present a case report and discuss possible injury  mechanisms and the role of cystoscopy in this setting.
  
  
  METHODS
  A 51 year-old female with past surgical history of Burch colposuspension underwent an uneventful transobturator  tape surgery. After 15 days, she complained of dysuria and frequency. Cystoscopy revealed the tape protruding within the  bladder.
  
  
  RESULTS
  Reoperation was performed with the sub-urethral segment of the tape removed by vaginal approach and the vesical  one excised endoscopically. Presently, the patient is asymptomatic.
  
  
  CONCLUSIONS
  In patients with previous incontinence surgical treatments, cystoscopy at the time of surgery should be  considered to exclude and treat eventual injuries, in order to avoid future complications.
authors.affiliation: Urology Department, Centro Hospitalar do Porto, Hospital de Santo António, Portugal.
authors.forename: Fernando
authors.initials: F
authors.lastname: Vila
authors.forename: Manuel
authors.initials: M
authors.lastname: Castanheira de Oliveira
authors.forename: Mário Jõao
authors.initials: MJ
authors.lastname: Gomes
authors.forename: Filinto
authors.initials: F
authors.lastname: Marcelo
mesh_terms: D003558:Cystoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D012086:Reoperation; D053825:Suburethral Slings / Q000009:adverse effects*; D053832:Surgical Tape / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries* / Q000473:pathology; D014550:Urinary Incontinence, Stress / Q000601:surgery; D013520:Urologic Surgical Procedures