Delayed bowel erosion by tension-free vaginal tape (TVT) |
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Authors: | Email author" target="_blank">T?FourieEmail author P?L?Cohen |
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Institution: | (1) Department of Urology, University of Natal, Durban, South Africa;(2) Hibiscus Hospital, 301 Medical Center, Burger Street, Pietermaritzburg, South Africa |
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Abstract: | A 71-year-old woman who had had a previous abdominal hysterectomy and Burch operation presented with stress urinary incontinence due to intrinsic urethral sphincter deficiency. She underwent a technically difficult placement of a TVT tape in April 2002. After an uneventful recovery she was discharged after 72 hours but presented almost 5 months later with small bowel obstruction. At laparotomy she had a loop of ileum adherent to the left lower side wall of the pelvis, with the TVT tape penetrating and traversing this loop. The ileal segment was excised and an end-to-end anastomosis performed. Her recovery was uneventful and she is maintaining her urinary continence. Patients who have had previous combined pelvic intra- and extraperitoneal surgery should be operated on by experienced surgeons and be observed for 24 hours. The placement of a Uratape (Porges-Mentor) via a transobturator approach should also be considered in such cases. Abbreviations TVT tension-free vaginal tape |
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Keywords: | Bowel erosion Bowel perforation Complications Polypropylene mesh TVT procedure |
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