Painful Intercourse After Transobturator Tape Operation, Two Cases With Similar Symptoms But Different Managements

Abstract

The risk of stress urinary incontinence (SUI) is tremendously increasing in adult females. Midurethral slings (MUS) are the preferred way of treatment for SUI. Transobturator tape (TOT) and transvaginal tape (TVT) operations are the types of MUS procedures and they can be performed with high success rates. Dyspareunia, pain, mesh exposure and vaginal erosion, infection and voiding dysfunction are all possible complications of synthetic slings. Mesh exposure and erosion is the greatest reason of the sling revision/removal operation. Preoperative usage of topical estrogen creams may decrease the incidence of erosion. Surgical excision of the eroded part is still the best way if vaginal erosion occurs.

Keywords

• transobturator tape, mesh erosion, sling

Transobturator tape operasyonu sonrası ağrılı ilişki, benzer semptomları ancak farklı yönetimleri olan iki vakanın sunumu

Abstract

Erişkin kadınlarda stress üriner inkontinans (SÜİ) riski giderek artmaktadır. Midüretral slingler (MÜS) SÜİ için tercih edilen tedavi yöntemidir. Transobturator teyp (TOT) ve transvaginal teyp (TVT) operasyonları midüretral sling yöntemleridir ve yüksek başarı oranları ile uygulanabilirler. Disparoni, ağrı, meş görülmesi ve vaginal erozyon, infeksiyon, ve işeme disfonksiyonu sentetik slinglerin olası komplikasyonlarıdır. Meş görülmesi ve erozyon sling revizyon ve çıkarma operasyonları için en büyük nedendir. Operasyon öncesi topikal estrojen kremlerin kullanımı erozyon riskini azaltabilir. Erode olan bölgenin cerrahi eksizyonu vaginal erozyon durumunda en iyi seçenek olacaktır.

Keywords

• transobturator teyp, meş erozyonu, sling

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