Abstract
A 71-year-old woman who had had a previous abdominal hysterectomy and Burch operation presented with stress urinary incontinence due to intrinsic urethral sphincter deficiency. She underwent a technically difficult placement of a TVT tape in April 2002. After an uneventful recovery she was discharged after 72 hours but presented almost 5 months later with small bowel obstruction. At laparotomy she had a loop of ileum adherent to the left lower side wall of the pelvis, with the TVT tape penetrating and traversing this loop. The ileal segment was excised and an end-to-end anastomosis performed. Her recovery was uneventful and she is maintaining her urinary continence. Patients who have had previous combined pelvic intra- and extraperitoneal surgery should be operated on by experienced surgeons and be observed for 24 hours. The placement of a Uratape (Porges-Mentor) via a transobturator approach should also be considered in such cases.
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Abbreviations
- TVT:
-
tension-free vaginal tape
References
Ulmsten U, Henrikson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86
Nillson CG, Kuuvan N, Falconer C, Rezapour M, Ulmsten U (2001) Long term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress incontinence. Int Urogynecol J [Suppl 2]:S5–S8
Meschia M, Busacca M, Pifarotti P, De Marinis S (2002) Bowel perforation during insertion of tension-free vaginal tape (TVT). Int Urogynecol J 13:263–265
Peyrat L, Boutin JM, Bruyere F et al. (2001) Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence. Eur Urol 39:603–605
Tamussino KF, Hanzal E, Kolle D, Ralph G, Riss PA and the Austrian Urogynecology Working Group (2001) Tension-free vaginal tape operation: results of the Austrian registry. Obstet Gynecol 98;732–736
Sweat SD, Itano NB, Clemens JQ et al. (2002) Polypropylene mesh tape for stress urinary incontinence: complications of urethral erosion and outlet obstruction. J Urol 168:144–146
Madjar S, Tchetgen MB, Van Antwerp A, Abdelmalak J, Rackley RR (2002) Urethral erosion of tension-free vaginal tape. Urology 59:601
Pit MJ (2002) Rare complications of tension-free vaginal tape procedure: late intraurethral displacement and early misplacement of tape. J Urol 167:647
Fernandez LR, Martinez SC, Ortego DP, Fradejas LJM, Marin LFJ, Moreno AM (2001) Colocutaneous fistula due to polypropylene mesh. Hernia 5:107–109
Aldridge AJ, Simson JN (2001) Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia. Hernia 5:110–112
Fukuya T, Hawes DR, Lu CC, Chang PJ, Barloon TJ (1992) CT diagnosis of small bowel obstruction: efficacy in 60 patients. Am J Roentgenol 158:765–769
Delorme E (2001) The transobturator sling: a minimally invasive procedure to treat stress female urinary incontinence. Progr Urol 11:1306–1313
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Fourie, T., Cohen, P.L. Delayed bowel erosion by tension-free vaginal tape (TVT). Int Urogynecol J 14, 362–364 (2003). https://doi.org/10.1007/s00192-003-1068-x
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DOI: https://doi.org/10.1007/s00192-003-1068-x