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International Urogynecology Journal
Published in: International Urogynecology Journal 2/2009

Open Access 01-02-2009 | Case Report

Transurethral mesh resection after urethral erosion of tension-free vaginal tape: report of three cases and review of literature

Authors: S. A. M. Wijffels, H. W. Elzevier, A. A. B. Lycklama a Nijeholt

Published in: International Urogynecology Journal | Issue 2/2009

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Abstract

A rare complication after tension-free vaginal tape (TVT; including TVT-O) procedure is erosion of the tape through the urethral wall. In the literature, different methods to remove this intra-urethral tape are described. Most authors used the transvaginal approach with urethrotomy. In the cases described in this article, the transurethral approach is applied and proposed as the optimal method, being minimally invasive and less damaging to the urethral wall A transurethral catheter can be removed shortly after surgery to enable optimal tissue healing of the urethral mucosa.
Literature
1.
Werner M, Najjari L, Schuessler B (2003) Transurethral resection of tension-free vaginal tape penetrating the urethra. Obstet Gynecol 102(5):1034–1036PubMedCrossRef
2.
McLennan MT (2004) Transurethral resection of transvaginal tape. Int Urogynecol J Pelvic Floor Dysfunct 15(5):360–362PubMed
3.
Koelbl H, Stoerer S, Seliger G, Wolters M (2001) Transurethral penetration of a tension-free vaginal tape. BJOG 108(7):763–765PubMedCrossRef
4.
Madjar S, Tchetgen MB, Van Antwerp A, Abdelmalak J, Rackley R (2002) Urethral erosion of tension-free vaginal tape. Urology 59(4):601PubMedCrossRef
5.
Rehman J, Chugtai B, Sukkarich T, Khan A (2008) Extraperitoneal laparoscopic removal of eroded midurethral sling: a new technique. J Endourol 22(2):365–368PubMedCrossRef
Metadata
Title
Transurethral mesh resection after urethral erosion of tension-free vaginal tape: report of three cases and review of literature
Authors
S. A. M. Wijffels
H. W. Elzevier
A. A. B. Lycklama a Nijeholt
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0705-9

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