[Intravesical migration of a sub-urethral tension-free vaginal tape (TVT) sling: about a case and review of the literature].
Sub-urethral support techniques using synthetic sling are the current gold standard in the treatment of stress urinary incontinence. We report the case of a 60-year-old female patient with a personal history of stress urinary incontinence treated with suburethral TVT sling in 2008. Intraoperative cystoscopy was normal. Six years later the patient had recurrent urinary tract infections caused by Escherichia Coli, resistant to all appropriate antibiotics. The patient underwent ultrasound which objectified intravesical stone measuring 2.5 cm on the major axis; post-void residual urine volume was zero. Fibroscopy showed intravesical sling surrounded by a large calcification. Our patient underwent conservative treatment, which consisted of endoscopic section of the intravesical portion of the sling with preservation of the sub-urethral portion. The calculi was fragmented using Lithoclast. Functionally, our patientis is continent.
Service d'Urologie, Hôpital Bel-Air, CHR Metz-Thionville, France.
Adil
A
Kallat
Service d'Urologie, Hôpital Bel-Air, CHR Metz-Thionville, France.
Oumar
O
Diaby
Service d'Urologie, Hôpital Bel-Air, CHR Metz-Thionville, France.
Ali
A
Valizadeh
Service d'Urologie, Hôpital Bel-Air, CHR Metz-Thionville, France.
Jean
J
Agel
Service d'Urologie, Hôpital Bel-Air, CHR Metz-Thionville, France.
Claude
C
Erb
D003558:Cystoscopy; D024901:Drug Resistance, Multiple, Bacterial; D004724:Endoscopy / Q000379:methods; D004926:Escherichia coli / Q000187:drug effects / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology
Stress urinary incontinence; conservative treatment; migration; tension-free vaginal tape