Bladder perforation: A missed diagnosis posttransobturator tape

Abstract

The advent of transobturator tape (TOT) in 2001 reduced the risk of bladder perforation to 1% in TOT as compared to 5% in tension-free vaginal tape (TVT). We present a case of bladder perforation in TOT where the diagnosis was missed for 5 years. This patient presented with dysuria and dyspareunia repeatedly and was treated for repeated urinary tract infection. The mesh was excised by cystoscopy, following which the symptoms were relieved. Thus, bladder perforation through a rare complication of TOT should always be ruled out in patients presenting with the failure of surgery or irritable detrusor activity such as dysuria and urgency.

Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study

“…Since then, an impressive number of procedures have been carried out, yielding mid-term results comparable to colposuspension, with few reported complications. However, described complications included damage to the bladder, intestine and large blood vessels, infections, and difficulties in urinary evacuation and urinary urgency [6][7][8][9][10].…”