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Published in: International Urogynecology Journal 1/2007

01-01-2007 | Case Report

Transobturator tape, bladder perforation, and paravaginal defect: a case report

Authors: Phillip P. Smith, Rodney A. Appell

Published in: International Urogynecology Journal | Issue 1/2007

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Abstract

Transobturator midurethral slings (TOT) have been shown to have less risk of vascular and visceral injury than tension-free midurethral slings. Routine cystoscopy has therefore not been felt to be necessary. A case of bladder perforation unrecognized at the time of TOT placement is presented. Findings at sling removal suggested that a clinically nonapparent paravaginal defect may have been instrumental in the injury. Consideration should be given to routine cystoscopy at the time of transobturator sling placement.
Literature
1.
go back to reference Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11(5):1305–1313 Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11(5):1305–1313
2.
go back to reference Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL (2004) Sub-urethral tape treatment of female urinary incontinence—morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multi-centre experiment involving 503 cases. Eur Urol 36(1):102–105 Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL (2004) Sub-urethral tape treatment of female urinary incontinence—morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multi-centre experiment involving 503 cases. Eur Urol 36(1):102–105
3.
go back to reference Fischer A, Fink T, Zachmann S, Eickenbusch U (2005) Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Eur Urol 48:799–804PubMedCrossRef Fischer A, Fink T, Zachmann S, Eickenbusch U (2005) Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence. Eur Urol 48:799–804PubMedCrossRef
4.
go back to reference Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2003) Bladder injury during transobturator sling. Urology 53(2):365–366 Minaglia S, Ozel B, Klutke C, Ballard C, Klutke J (2003) Bladder injury during transobturator sling. Urology 53(2):365–366
5.
go back to reference Hermieu JF, Messas A, Delmas V, Ravery V, Dumonceau O, Boccon-Gibod L (2002) Bladder injury after TVT transobturator. Prog Urol 13(1):114–116 Hermieu JF, Messas A, Delmas V, Ravery V, Dumonceau O, Boccon-Gibod L (2002) Bladder injury after TVT transobturator. Prog Urol 13(1):114–116
6.
go back to reference Ulmsten, U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:71–75CrossRef Ulmsten, U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:71–75CrossRef
7.
go back to reference Whiteside JL, Walters MD (2003) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J Pelvic Floor Dysfunct 14:223–225CrossRef Whiteside JL, Walters MD (2003) Anatomy of the obturator region: relations to a trans-obturator sling. Int Urogynecol J Pelvic Floor Dysfunct 14:223–225CrossRef
8.
go back to reference Segal JL, Vassallo BJ, Kleeman SD, Silva WA, Karram MM (2003) Paravaginal defects: prevalence and accuracy of preoperative detection. Int Urogynecol J Pelvic Floor Dysfunct 14(5):367–373 Segal JL, Vassallo BJ, Kleeman SD, Silva WA, Karram MM (2003) Paravaginal defects: prevalence and accuracy of preoperative detection. Int Urogynecol J Pelvic Floor Dysfunct 14(5):367–373
Metadata
Title
Transobturator tape, bladder perforation, and paravaginal defect: a case report
Authors
Phillip P. Smith
Rodney A. Appell
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-005-0050-1

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