A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape

Kenan İsen; İlhami Atılgan

A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape

Year 2009, Issue: 1, 35 - 37, 01.04.2009

Abstract

Intra-urethral vaginal tape is a rare complication of tension-free vaginal tape (TVT) procedure. A 41-year-old woman with intra-urethral vaginal tape after TVT procedure is presented. The presentingsymptoms were urge incontinence and dysparonia. The patient has received anticholinergic drugs andvaginal estrogen, but the symptoms had not been resolved with both this regimen. The diagnosis wasmade by urethro-cystoscopy. Transvaginal surgical approach was performed to the patient. Thevaginal tape was excised completely and urethral defect was repaired. The symptoms were resolvedat postoperative 1 month. No complication was observed during 6 months follow-up. Likewise thecase, TVT procedure may not imply minimum risk. Surgeon should keep in the mind intra-urethralvaginal tape in a patient who presents with persistent urge incontinence and dysparonia after TVTprocedure. Open surgery is necessary for complete removal of intra-urethral synthetic tape after TVTprocedure.

Keywords

Stres incontinence, suburethral slings, complication

Gerilimsiz vajinal bant işleminin nadir bir komplikasyonu: üretra içi Vajinal bant

Year 2009, Issue: 1, 35 - 37, 01.04.2009

Kenan İsen İlhami Atılgan

Abstract

Üretra içi vajinal bant, gerilimsiz vajinal bant (TVT) işleminin nadir görülen bir komplikasyonudur. TVTişlemi sonrası vajinal bant’ı üretra içine yerleşmiş olan 41 yaşındaki bir bayan hasta sunulmuştur.Hastanın semptomları stres inkontinans ve disparoni idi. Hasta antikolinerjik ilaç ve vajinal estrojentedavisi aldı, fakat semptomlarda düzelme olmadı. Hastanın tanısı üretro-sistoskopi ile kondu.Hastaya transvajinal cerrahi yaklaşım uygulandı. Vaginal bant tam olarak çıkarıldı ve üretra onarıldı.Semptomlar işlemden sonraki 1. Ayda düzeldi. Altı aylık takipte herhangi bir komplikasyon görülmedi.Bu vakada olduğu gibi, TVT işlemi minimal risk içermeyebilir. Cerrah TVT işlemi sonrası stresinkontinans ve disparoni şikayetleri devam eden bir hastada üretra içi vajinal bant olabileceğini akıldatutmalıdır. TVT sonrası üretra içi sentetik vajinal bant olan hastada bandın tam olarak çıkarılması içinaçık cerrahi gereklidir.

Keywords

Stres inkontinans, subüretral slingler, komplikasyon

There are 0 citations in total.

Details

Other ID	JA93DC33CZ
Journal Section	Research Article
Authors	Kenan İsen This is me İlhami Atılgan This is me
Publication Date	April 1, 2009
Submission Date	April 1, 2009
Published in Issue	Year 2009 Issue: 1

Cite

APA	İsen, K., & Atılgan, İ. (2009). A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape. Pamukkale Medical Journal(1), 35-37.
AMA	İsen K, Atılgan İ. A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape. Pam Med J. April 2009;(1):35-37.
Chicago	İsen, Kenan, and İlhami Atılgan. “A Rare Complication of Tension-Free Vaginal Tape Procedure: Intra-Urethral Vaginal Tape”. Pamukkale Medical Journal, no. 1 (April 2009): 35-37.
EndNote	İsen K, Atılgan İ (April 1, 2009) A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape. Pamukkale Medical Journal 1 35–37.
IEEE	K. İsen and İ. Atılgan, “A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape”, Pam Med J, no. 1, pp. 35–37, April 2009.
ISNAD	İsen, Kenan - Atılgan, İlhami. “A Rare Complication of Tension-Free Vaginal Tape Procedure: Intra-Urethral Vaginal Tape”. Pamukkale Medical Journal 1 (April 2009), 35-37.
JAMA	İsen K, Atılgan İ. A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape. Pam Med J. 2009;:35–37.
MLA	İsen, Kenan and İlhami Atılgan. “A Rare Complication of Tension-Free Vaginal Tape Procedure: Intra-Urethral Vaginal Tape”. Pamukkale Medical Journal, no. 1, 2009, pp. 35-37.
Vancouver	İsen K, Atılgan İ. A rare complication of tension-free vaginal tape procedure: Intra-urethral vaginal tape. Pam Med J. 2009(1):35-7.