Skip to main content

Advertisement

SpringerLink
Log in

Case report of tension-free vaginal tape-associated bowel obstruction and relationship to body habitus

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Tension-free vaginal tape (TVT) is increasingly being used as the gold standard to treat stress urinary incontinence. Previously reported complications include peritoneal perforation with acute bowel injury. A thin, petite 51-year-old woman with stress urinary incontinence underwent uneventful TVT placement. Three years later, she presented to hospital with de novo small-bowel obstruction. Laparotomy revealed TVT tape violating the peritoneum and causing the distal ileum to adhere to the pelvic sidewall. The compromised bowel was resected and primary anastomosis performed. Delayed, adhesion-related small-bowel obstruction can be a complication of TVT.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. 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

    Article  CAS  Google Scholar 

  2. Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77

    Article  PubMed  Google Scholar 

  3. Meschia M, Busacca M, Pifarotti P, De Martinis S (2002) Bowel perforation during insertion of tension-free vaginal tape. Int Urogynecol J 13:263–265

    Article  CAS  Google Scholar 

  4. Fourie T, Cohen PL (2003) Delayed bowel erosion by tension-free vaginal tape (TVT). Int Urogynecol J 14:362–364

    Article  CAS  Google Scholar 

  5. Leboeuf L, Mendez LE, Gousse AE (2004) Small bowel obstruction associated with tension-free vaginal tape. Urology 63:1182.e11–1182e.13

    Article  Google Scholar 

Download references

Financial support

Primary author research stipend provided by: Vessie Heckbert Memorial Summer Research Award

Conflicts of interest

Drs. Schulz and Flood are involved in research trials sponsored by Astellas, Pfizer, and Gynecare. Dr. Schulz has acted as a consultant for Astellas, Pfizer, and Gynecare.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton, Alberta, Canada

    Lisa Phillips, Cathy G. Flood & Jane A. Schulz

  2. 201 Community Services Centre, 10240 Kingsway Avenue, Edmonton, Alberta, T5H3V9, Canada

    Jane A. Schulz

Authors
  1. Lisa Phillips
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cathy G. Flood
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jane A. Schulz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jane A. Schulz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Phillips, L., Flood, C.G. & Schulz, J.A. Case report of tension-free vaginal tape-associated bowel obstruction and relationship to body habitus. Int Urogynecol J 20, 367–368 (2009). https://doi.org/10.1007/s00192-008-0722-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-008-0722-8

Keywords

Search

Navigation