Development of bladder stone after tension free vaginal tape procedure: a case report

Özdemir, Arman; Cakir, Seda; Sözen, Hamdullah; Namazov, Ahmet; Akdemir, Yeşim; Karateke, Ateş

doi:10.5152/jtgga.2011.59

Cited by 5 publications

(10 citation statements)

References 10 publications

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“…Literatürde TVT sonrası mesane taşı gelişimi bildiren az sayıda olgu sunumu ve vaka serisi bulunmaktadır (8,9). Bildirilen bu olguların tamamında taş içerisinde veya taşla birlikte sütür materyali ve/veya mesh'e ait parçalar da izlenmiştir (8,9). Bizim vakamızda da taş içerisinde mesh'e ait olduğu düşünülen lifler gözlendi.…”

Section: Discussionunclassified

Tension Free Transvajinal Tape Uygulaması Sonrası Mesh Erozyonu Nedenli Mesane Taşı Olgusu

Horasanlı¹

2020

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Tension free transvajinal tape operasyonu kısa hospitalizasyon süresi ve uygulama kolaylığı nedeni ile stres üriner inkontinansta oldukça popüler hale gelmiştir. Stres inkontinas tedavisinde tension free transvajinal tape başarılı ve güvenli bir prosedür olmasına rağmen, çeşitli intraoperatif ve postoperatif komplikasyonlar gelişebilmektedir. Bu çalışmamızda, 7 yıl önce geçirdiği stres üriner inkontinans nedeniyle tension free vajinal tape ve pelvic organ prolapsusu nedeniyle kolporafi anterior operasyonu sonrası mesh erozyonuna bağlı mesane taşı gelişen ve başarılı bir şekilde tedavi edilen bir olguyu tanımladık. Anahtar Kelimeler: Tension free transvajinal tape ope, stres üriner inkontinans, mesane taşı, mesh erozyonu, pelvic organ prolapsusu Tension free transvajinal tape operation has become popular in the treatment of stress urinary incontinence because of its short hospitalisation time and ease of application. Although tension free transvajinal tape is a successful and safe procedure in the treatment of stress urinary incontinence, several intraoperative and postoperative complications mıight be seen. In our study, we described a case of bladder stone that developed secondary to mesh erosion after tension free transvajinal tape operation for stress incontinence and reconstructive surgery (anterior colporrhaphy) for pelvic organ prolapse performed 7 years previously and who was successfully treated.

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Section: Discussionunclassified

Tension Free Transvajinal Tape Uygulaması Sonrası Mesh Erozyonu Nedenli Mesane Taşı Olgusu

Horasanlı¹

2020

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“…In patients with bladder perforations, attempts are made to medically treat complaints, such as urinary incontinence, increased urinary frequency, dysuria, recurrent urinary tract infection, urgency, incontinence, hematuria, and vaginal discomfort; therefore, it can take months or even years to diagnose and treat the underlying pathology [20, 22]. The average duration between diagnosis and treatment is 7–36 months [5, 20, 22].…”

Section: Discussionmentioning

confidence: 99%

“…[3]. In spite of its high success rates, undesired bowel and bladder injuries were observed [4, 5]. To reduce these complications, Delorme described the transobturator midurethral route in 2001 [6].…”

Section: Introductionmentioning

confidence: 99%

Transobturator tape material detected in the bladder neck: a case report

2019

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Introduction Stress urinary incontinence surgeries (transobturator tape and tension-free vaginal tape) are safely performed with success rates over 90%. The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injuries, related to the tension-free vaginal tape procedure. Although there are no major or mortality-related complications, more lower urinary complaints, especially vaginal erosion, are reported in transobturator tape surgery. Here we present a rare complication of transobturator tape surgery: the accidental placement of mesh material in the bladder neck. With this case report, we aimed to discuss the diagnosis and management of misplaced transobturator tape material. Case presentation A 38-year-old Caucasian woman who had stress urinary incontinence that had persisted for 6 years underwent transobturator tape surgery in a different clinic 2 years ago. Subsequently, she presented to our clinic with lower urinary tract complaints such as incontinence and dysuria. A physical examination was unremarkable besides total incontinence. A diagnostic cystoscopy was performed and sling material that crossed her bladder neck from 3 o’clock to 10 o’clock was identified. The misplaced transobturator tape material was cut endoscopically with an internal urethrotomy knife. Afterwards, a midurethral incision was made and mesh parts were removed bilaterally. After successful removal of the mesh material, a new transobturator tape was placed. Conclusions Even though transobturator tape surgery is a safe and effective procedure for stress urinary incontinence, certain complications can be encountered. Misplacement of the mesh material through the bladder neck is a rare complication and can be managed by successfully removing the mesh material and appropriately placing new transobturator tape material.

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“…Removal of mesh by open suprapubic approach (cystectomy) or transurethrally have been described in literature [11,12]. More recently, endoscopic removal using laparoscopic scissors via a suprapubic trocar and cystoscope to grasp the tape has been used [13].…”

Section: Discussionmentioning

confidence: 99%