Urethral necrosis and proximal urethro-vaginal fistula resulting from tension-free vaginal tape.
Int Urogynecol J Pelvic Floor Dysfunct
; 17(6): 661-4, 2006 Nov.
Article
en En
| MEDLINE
| ID: mdl-16944073
ABSTRACT
Urethral erosion is an uncommon complication after sub-urethral sling placement using the TVT procedure. Strangulation necrosis of the entire distal urethra with a fistulous connection between proximal urethra and vagina is a devastating complication that has not been previously reported, resulting in significant morbidity and the necessity for challenging management. This is a report of a 64-year-old woman with stress urinary incontinence who underwent a TVT resulting in a large fistula between the proximal urethra and the vagina, and the necrosis of the entire urethra distal to the fistula. This problem necessitated a staged reconstruction involving three separate procedures. Initially, she underwent debridement and removal of the TVT fragments, a secondary vaginal flap urethroplasty with a labial fibro-fatty graft to restore urethral length, and a tertiary coaptive occlusive sling to restore continence.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Uretra
/
Enfermedades Uretrales
/
Fístula Urinaria
/
Fístula Vaginal
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Int Urogynecol J Pelvic Floor Dysfunct
Asunto de la revista:
GINECOLOGIA
/
UROLOGIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM