Vesico-cutaneous fistula: unusual complication after transobturator mid-urethral sling.
The transobturator tape (TOT) procedure was described in 2001 as the safest sling technique for the treatment of stress urinary incontinence (SUI). Although routine intraoperative cystoscopy to detect bladder and urethra injuries after the TOT procedure is not usually advocated, when such perforations do occur, there is potential for further patient morbidity. We present a case report of a vesico-cutaneous fistula detected after placement of a TOT sling in a 44-year old woman, 3 months postoperatively. Cystoscopic evaluation after mid-urethral sling procedures, especially in high-risk situations such as patients with cystocele, previous pelvic floor surgery or during the learning curve of the procedure, may avoid such complications associated with unrecognized lower urinary tract injuries.
Department of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Turkey.
Fulya
F
Dokmeci
Tuncay
T
Yuce
Serife Esra
SE
Cetinkaya
D000328:Adult; D017577:Cutaneous Fistula / Q000209:etiology*; D005260:Female; D006801:Humans; D053825:Suburethral Slings / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries*; D001747:Urinary Bladder Fistula / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*