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Transobturator tape, bladder perforation, and paravaginal defect: a case report

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Abstract

Transobturator midurethral slings (TOT) have been shown to have less risk of vascular and visceral injury than tension-free midurethral slings. Routine cystoscopy has therefore not been felt to be necessary. A case of bladder perforation unrecognized at the time of TOT placement is presented. Findings at sling removal suggested that a clinically nonapparent paravaginal defect may have been instrumental in the injury. Consideration should be given to routine cystoscopy at the time of transobturator sling placement.

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References

  1. Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11(5):1305–1313

    Google Scholar 

  2. Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL (2004) Sub-urethral tape treatment of female urinary incontinence—morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multi-centre experiment involving 503 cases. Eur Urol 36(1):102–105

    Google Scholar 

  3. Fischer A, Fink T, Zachmann S, Eickenbusch U (2005) Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Eur Urol 48:799–804

    Article  PubMed  Google Scholar 

  4. Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2003) Bladder injury during transobturator sling. Urology 53(2):365–366

    Google Scholar 

  5. Hermieu JF, Messas A, Delmas V, Ravery V, Dumonceau O, Boccon-Gibod L (2002) Bladder injury after TVT transobturator. Prog Urol 13(1):114–116

    Google Scholar 

  6. Ulmsten, U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:71–75

    Article  Google Scholar 

  7. Whiteside JL, Walters MD (2003) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J Pelvic Floor Dysfunct 14:223–225

    Article  Google Scholar 

  8. Segal JL, Vassallo BJ, Kleeman SD, Silva WA, Karram MM (2003) Paravaginal defects: prevalence and accuracy of preoperative detection. Int Urogynecol J Pelvic Floor Dysfunct 14(5):367–373

    Google Scholar 

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Authors and Affiliations

  1. Scott Department of Urology, Baylor College of Medicine, Scurlock 21006560Fannin, Houston, TX, 77030, USA

    Phillip P. Smith & Rodney A. Appell

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  1. Phillip P. Smith
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  2. Rodney A. Appell
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Correspondence to Phillip P. Smith.

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Smith, P.P., Appell, R.A. Transobturator tape, bladder perforation, and paravaginal defect: a case report. Int Urogynecol J 18, 99–101 (2007). https://doi.org/10.1007/s00192-005-0050-1

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  • DOI: https://doi.org/10.1007/s00192-005-0050-1

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