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Late erosions of mid-urethral tapes for stress urinary incontinence—need for long-term follow-up?
Authors:T Mesens  A Aich  P S Bhal
Institution:(1) 18 Bron-y-nant, Croesnewydd Road, Wrexham, LL13 7TX, UK;(2) Department of Obstetrics and Gynaecology, University Hospital Wales, Heath Park, Lakeside Complex, CF14 4XW Cardiff, UK
Abstract:Tension-free vaginal tape (TVT) procedure has become one of the most common treatments of female urinary stress incontinence. Success rates as high as 81.3% were reported over a follow-up period of 7 years. Erosion of the synthetic mesh is a well-described complication. The mean time for the onset of erosion after sling insertion was 11.2 months. These case reports describe an erosion of a mid-urethral tape after 18 and 28 months, which is uncommon. There is a need for long-term follow-up of patients with TVT.
Keywords:Mid-urethral tape  Intra-vaginal sling  Mesh erosion  Stress urinary incontinence  Surgical removal tension-free vaginal tape
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