Bladder perforation after TVT-Secur procedure: how secure is TVT-Secur?
Arch Gynecol Obstet
; 289(1): 131-4, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-23867901
ABSTRACT
BACKGROUND:
A rare but challenging complication of midurethral tape procedures is perforation of the tape through the bladder wall. CASES We saw three patients in whom unrecognized bladder perforation during TVT-Secur procedures occurred. It took an average follow-up time of 11 months before the bladder perforations were identified by introital ultrasound. Complete excision of the mesh was achieved endoscopically (TURP resectoscope) and/or by traditional vaginal tape removal techniques. Following tape removal, there has been no recurrence of urinary tract infections, and the irritative voiding symptoms have resolved in all three cases.CONCLUSIONS:
Bladder perforation after mini-sling procedures can be managed using a combined transurethral/vaginal approach. This technique is minimally invasive, safe, and successful. Careful introital ultrasound should be performed in patients presenting with new lower urinary tract symptoms after sling surgery to avoid delays in diagnosing bladder perforation.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Telas Cirúrgicas
/
Incontinência Urinária por Estresse
/
Bexiga Urinária
/
Implantação de Prótese
/
Slings Suburetrais
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article