International Urogynecology Journal

, Volume 24, Issue 3, pp 519–521

Delayed vaginal and urethral mesh exposure: 10 years after TVT surgery

  • Siwatchaya Khanuengkitkong
  • Tsia-Shu Lo
  • Anil Krishna Dass
Case Report

DOI: 10.1007/s00192-012-1826-8

Cite this article as:
Khanuengkitkong, S., Lo, TS. & Dass, A.K. Int Urogynecol J (2013) 24: 519. doi:10.1007/s00192-012-1826-8

Abstract

Delayed mesh exposure after tension-free vaginal tape (TVT) procedure is rare. We report a case of mesh exposure into the vagina and urethra that developed 10 years after TVT surgery. A 58-year-old postmenopausal woman presented with mixed urinary incontinence. She was investigated, and her stress urinary incontinence was cured with a TVT procedure 10 years ago. She was then scheduled follow-up annually. Two years postsurgery, a granulation tissue was observed and excised at the vaginal incision site. Vaginal examination 10 years postsurgery showed vaginal mesh erosion 0.5 cm from urethral meatus. Cystoscopy revealed concomitant urethral erosion at the posterior urethral wall. Mesh excision was performed, and urethra and vagina were repaired in layers. Postoperative recovery was uneventful. This finding shows that, although rare, complications can occur even after 10 years of TVT surgery.

Keywords

Late complicationVaginaUrethraMesh exposureTVT

Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Siwatchaya Khanuengkitkong
    • 1
    • 2
  • Tsia-Shu Lo
    • 3
    • 5
  • Anil Krishna Dass
    • 1
    • 4
  1. 1.Fellow of the Division of Urogynaecology, Department of Obstetrics & Gynaecology, Chang Gung Memorial HospitalChang Gung University, School of MedicineTaoyuanRepublic of China
  2. 2.Department of Obstetrics & Gynaecology, Faculty of MedicinePrince of Songkla UniversityHatyaiThailand
  3. 3.Division of Urogynaecology, Department of Obstetrics & Gynaecology, Chang Gung Memorial HospitalChang Gung University, School of MedicineTaoyuanRepublic of China
  4. 4.Urogynaecology Unit, Department of Obstetrics & GynaecologyPenang HospitalPenangMalaysia
  5. 5.Division of Urogynecology, Department of Obstetrics and GynecologyChang Gung Memorial Hospital, Linkou Medical CenterTao-Yuan HsienRepublic of China