Urethrovaginal fistulae associated with tension-free vaginal tape procedures: a clinical challenge

Seven women with urethrovaginal fistulae and penetration of tension-free vaginal tape into the urethra were treated at our department between July 2007 and March 2013. Fistulae were diagnosed 1 month to 10 years after midurethral sling placement. All were managed surgically. Five patients developed recurrent postoperative stress urinary incontinence, which was treated conservatively in all cases. In three cases, additional surgical treatment using a midurethral sling was performed.