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Transurethral resection of tension-free vaginal tape under tactile traction

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Abstract

Urethral erosion is a rare complication after the tension-free vaginal tape (TVT) procedure. Surgical management of this complication is challenging due to the potential for significant patient morbidity. A 50-year-old patient presented with lower urinary tract symptoms (LUTS) and incomplete voiding, 6 years after a TVT procedure performed for stress incontinence. An attempt at cystoscopy revealed an almost complete occlusion of the urethral lumen by a urethral erosion of the polypropylene mesh. A transurethral resection was performed under tactile traction. This procedure is a minimally invasive approach that avoids the need for a transvaginal procedure. Careful cystourethroscopy should be performed in patients presenting with new lower LUTS after TVT in order to avoid a delay in diagnosing a mesh erosion.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Oklahoma University Health Sciences Center, 920 SL Young, WP 2430, Oklahoma City, OK, 73034, USA

    Lieschen H. Quiroz

  2. Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada

    Geoffrey W. Cundiff

Authors
  1. Lieschen H. Quiroz
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  2. Geoffrey W. Cundiff
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Correspondence to Lieschen H. Quiroz.

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Quiroz, L.H., Cundiff, G.W. Transurethral resection of tension-free vaginal tape under tactile traction. Int Urogynecol J 20, 873–875 (2009). https://doi.org/10.1007/s00192-008-0758-9

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  • DOI: https://doi.org/10.1007/s00192-008-0758-9

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