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Late urethral erosion of transobturator suburethral mesh (Obtape®): a minimally invasive management under local anaesthesia

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Abstract

The placement of transobturator sub-urethral synthetic tapes, although with a high success rate of achieving continence, carries the risk of tape erosion to adjacent structures. While vaginal erosion occurs more frequently, urethral erosion has also been reported, usually in the immediate or early postoperative period. We present two different cases of urethral erosion with the Obtape® sling, the first one diagnosed 1 year after surgery and the second one, a very late complication, occurring 4 years after the placement of the sling. Although transvaginal urethrotomy with tape resection has been the most popular approach described in the literature, we describe a minimally invasive trans-urethral approach for the management of this complication under local anaesthesia. We also present some “tricks of the trade” on retrieving the tape trans-urethrally while maximizing the length of tape removed.

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Fig. 1

Abbreviations

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tapes

References

  1. Clemens JQ, DeLancey JO, Faerber GJ, Westney OL, McGuire EJ (2000) Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy. Urology 56:589–594

    Article  CAS  PubMed  Google Scholar 

  2. Mesens T, Aich A, Bhal PS (2007) Late erosions of mid-urethral tapes for stress urinary incontinence—need for long-term follow-up? Int Urogynecol J Pelvic Floor Dysfunct Sep 18(9):1113–1114

    Article  CAS  Google Scholar 

  3. Lowery WJ, Dooley Y, Kost E (2010) Small-pore polypropylene slings: still out there. Int Urogynecol J 21:125–127

    Article  Google Scholar 

  4. Krause HG, Galloway SJ, Goh J, Khoo SK, Lourie R (2006) Biocompatible properties of surgical mesh using an animal model. Aust N Z J Obstet Gynaecol 46:42–45

    Article  PubMed  Google Scholar 

  5. Blaivas JG, Sandhu J (2004) Urethral reconstruction after erosion of slings in women. Curr Opin Urol 14(6):335–338

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Centro Hospitalar Lisboa Norte, Lisbon, Portugal

    Tiago Moura Mendonça, David Martinho & José Palma dos Reis

  2. Rua Cidade de Beja, 56—Bloco G, 2 Esquerdo, Parede, Cascais, 2775-287, Lisbon, Portugal

    Tiago Moura Mendonça

Authors
  1. Tiago Moura Mendonça
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  2. David Martinho
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  3. José Palma dos Reis
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Correspondence to Tiago Moura Mendonça.

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Mendonça, T.M., Martinho, D. & dos Reis, J.P. Late urethral erosion of transobturator suburethral mesh (Obtape®): a minimally invasive management under local anaesthesia. Int Urogynecol J 22, 37–39 (2011). https://doi.org/10.1007/s00192-010-1230-1

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  • DOI: https://doi.org/10.1007/s00192-010-1230-1

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