Abstract
Unintentional cystotomy is a known complication of the tension-free vaginal tape procedure and is commonly diagnosed intraoperatively. Delayed diagnosis does occur and various reparative techniques have been described, some requiring laparotomy with intentional cystotomy and repair. We report a case where a 46-year-old woman underwent vaginal reconstructive surgery including placement of a tension-free vaginal tape, which was complicated by unilateral cystotomy. A delayed diagnosis of intravesical tape placement was made requiring reoperation. The patient underwent a minimally invasive transvaginal procedure for removal and immediate replacement of the malpositioned arm of the tape. We conclude that a transvaginal approach may be an acceptable technique for revision and replacement of the tension-free vaginal tape where cystotomy is identified within 44 h after the initial procedure. With this technique, a more invasive surgery including laparotomy with cystotomy might successfully be avoided.
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Abbreviations
- TVT:
-
Tension-free vaginal tape
References
Karram MM, Segal JL, Vassallo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101(5):929–932
Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81(1):72–77
Lebret T, Lugagne PM, Herve JM, Barre P, Orsoni JL, Yonneau L et al (2001) Evaluation of tension-free vaginal tape procedure. Its safety and efficacy in the treatment of female stress urinary incontinence during the learning phase. Eur Urol 40(5):534–537
Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F et al (2001) Tension-free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J 12(Suppl 2):S24–S27
Wang AC (2004) The techniques of trocar insertion and intraoperative urethrocystoscopy in tension-free vaginal taping: an experience of 600 cases. Acta Obstet Gynecol Scand 83(3):293–298
Wyczolkowski M, Klima W, Piasecki Z (2001) Reoperation after complicated tension-free vaginal tape procedures. J Urol 166:1004–1005
Volkmer B, Nesslauer T, Rinnab L, Schradin T, Hautmann R, Gottfried H (2003) Surgical intervention for complications of the tension-free vaginal tape procedure. J Urol 169:570–574
Jorion JL (2002) Endoscopic treatment of bladder perforation after tension-free vaginal tape procedure. J Urol 168:197
Darai E, Jeffry L, Deval B, Birsan A, Kadoch O, Soriano D (2002) Results of tension-free vaginal tape in patients with or without vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 103(2):163–167
McLellan MT, Melick CF (2005) Bladder perforation during tension-free vaginal tape procedures: analysis of learning curve and risk factors. Obstet Gynecol 106(5 Pt 1):1000–1004
Tseng LH, Lo TS, Wang AC, Liang CC, Soong YK (2003) Bladder perforation presenting as vulvar edema after the tension-free vaginal tape procedure. J Reprod Med 48(10):824–826
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Labin, L.C., Morse, A.N. & Young, S.B. Vaginal revision of intravesical tension-free vaginal tape 44 h after initial placement: a case report. Int Urogynecol J 18, 223–225 (2007). https://doi.org/10.1007/s00192-006-0122-x
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DOI: https://doi.org/10.1007/s00192-006-0122-x