Abstract
Urethrovaginal fistula (UVF) is an uncommon complication after sub-urethral sling placement. This is a report of a 51-year-old woman with stress urinary incontinence who underwent a tension-free vaginal tape (TVT®) in July 2001. Thirty-nine months after the procedure, she complained about pelvic and vaginal pain, bleeding from the vagina and stress urinary incontinence. The gynecological examination revealed a large mid UVF hidden by a 1 cm granuloma. The UVF was closed using simple sutures after removal of the sling. No subsequent treatment was performed.
Abbreviations
- TVT®:
-
Tension-free vaginal tape
- UVF:
-
Urethrovaginal fistula
- SUI:
-
Stress urinary incontinence
References
Siegel AL (2006) Urethral necrosis and proximal urethro-vaginal fistula resulting from tension-free vaginal tape. Int Urogynecol J Pelvic Floor Dysfunct 17:661–664
Lowman J, Moore RD, Miklos JR (2007) Tension-free vaginal tape sling with a porcine interposition graft in an irradiated patient with a past history of a urethrovaginal fistula and urethral mesh erosion: a case report. J Reprod Med 52:560–562
Reisenauer C, Wallwiener D, Stenzl A, Solomayer FE, Sievert KD (2007) Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (ivs). Int Urogynecol J Pelvic Floor Dysfunct 18:343–346
Clemens JQ, DeLancey JO, Faerber GJ, Westney OL, McGuire EJ (2000) Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy. Urology 56:589–594
Deffieux X, Bonnet K, Chevalier N, Gervaise A, Frydman R, Fernandez H (2005) Urinary complications in sub-urethral sling procedures. J Gynecol Obstet Biol Reprod (Paris) 34:745–756
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Estevez, J.P., Cosson, M. & Boukerrou, M. An uncommon case of urethrovaginal fistula resulting from tension-free vaginal tape. Int Urogynecol J 21, 889–891 (2010). https://doi.org/10.1007/s00192-009-1067-7
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DOI: https://doi.org/10.1007/s00192-009-1067-7