Transurethral resection of tension-free vaginal tape under tactile traction |
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Authors: | Lieschen H Quiroz Geoffrey W Cundiff |
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Institution: | (1) Department of Obstetrics and Gynecology, Oklahoma University Health Sciences Center, 920 SL Young, WP 2430, Oklahoma City, OK 73034, USA;(2) Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada |
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Abstract: | Urethral erosion is a rare complication after the tension-free vaginal tape (TVT) procedure. Surgical management of this complication
is challenging due to the potential for significant patient morbidity. A 50-year-old patient presented with lower urinary
tract symptoms (LUTS) and incomplete voiding, 6 years after a TVT procedure performed for stress incontinence. An attempt
at cystoscopy revealed an almost complete occlusion of the urethral lumen by a urethral erosion of the polypropylene mesh.
A transurethral resection was performed under tactile traction. This procedure is a minimally invasive approach that avoids
the need for a transvaginal procedure. Careful cystourethroscopy should be performed in patients presenting with new lower
LUTS after TVT in order to avoid a delay in diagnosing a mesh erosion. |
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Keywords: | Mesh erosion TVT Urethral erosion Mesh resection Cystourethroscopy |
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