Abstract
Midurethral tension-free vaginal tapes (TVT), placed through the retropubic space or through the obturator foramina, are widely used for the surgical treatment of female stress urinary incontinence. Some complications are associated with retropubic tapes owing to the passage of the tape through the space of Retzius. One of the most frequent complications is bleeding, and if injury to major vessels is involved, this may be life-threatening. In 2010, the Gynecare TVT-Exact® Continence System was introduced onto the market, with a rigid trocar shaft measuring 3.0 mm in diameter. We have no clinical data regarding the complication rate, especially concerning bleeding, connected with this device; all data are related to the original size of the TVT inserter. The cases presented demonstrate that bleeding complications can occur with the TVT-Exact procedure.
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Acknowledgements
This work was supported by the Grant Agency of the Ministry of Health of the Czech Republic, grant NT 14162-3/2013, and by Charles University in Prague—UNCE 204024.
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Written informed consent was obtained from both patients for publication of these case reports.
Authors’ contributions
Jaromir Masata: manuscript writing, case management; Kamil Svabik: case management; Alois Martan: case management, manuscript editing.
Conflicts of Interest
Jaromir Masata: none; Alois Martan: preceptor for Ethicon Women’s Health and Urology, preceptor for bard and consultant for Astelas; Kamil Svabik: none.
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Masata, J., Svabik, K. & Martan, A. Bleeding complication with the TVT-Exact procedure: a report of two cases. Int Urogynecol J 26, 303–305 (2015). https://doi.org/10.1007/s00192-014-2494-7
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DOI: https://doi.org/10.1007/s00192-014-2494-7