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

Yıl 2014, Cilt: 4 Sayı: 2, 100 - 103, 01.06.2014

İlker Selçuk Gökhan Boyraz Selçuk Tuncer

https://doi.org/10.5505/sakaryamj.2014.74745

Öz

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.

Anahtar Kelimeler

transobturator tape, mesh erosion, sling

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

Öz

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.

Anahtar Kelimeler

transobturator teyp, meş erozyonu, sling

Kaynakça

• Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,995 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21: 28- 40
• Popma JJ, Bittl J. Coronary angiography and intravascular ultrasonography. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease: A Text Book of Cardiovascular Medicine. 6th ed. Philadelphia, WB Saunders, 2001,387- 421
• Tedeschi C, De Rosa R, Ratti G, Sacco M, Borrelli F, Runza G, et al. [Anomalous origin of the circumflex artery from the right aortic sinus: assessment with conventional coronary angiography and multislice computed tomography]. G Ital Cardiol (Rome) 2008;9:421-4.
• Datta J, White CS, Gilkeson RC, Meyer CA, Kansal S, Jani ML et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005;235(3):812–818.
• Aydinlar A, Ciçek D, Sentürk T, Gemici K, Serdar OA, Kazazoglu AR, et al. Primary congenital anomalies of the coronary arteries: a coronary arteriographic study in Western Turkey. Int Heart J. 2005;46:97–103.
• Roberts WC, Shirani J. The four subtypes of anomalous origin of the left main coronary artery from the right aortic sinus (or from the right coronary artery). Am J Cardiol. 1992;70(1):119–21.
• Burke AP, Farb A, Virmani R, Goodin J, Smialek JE. Sports-related and non-sports-related sudden cardiac death in young adults. Am Heart J. 1991;121:568–575.
• Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20(3):640–647.
• Tekbas EO, Cakici M, Yuce M, Alici H, Davutoglu V. Twin circumflex arteries with left sinus of valsalva origin: a case report. Int J Angiol. 2011;20:101-2
• Karabay KO, Uysal E, Bağırtan B, Vural M. A case of twin circumflex arteries associated with acute myocardial infarction. Turk Kardiyol Dern Ars. 2010;38:496-8
• Attar MN, Moore RK, Khan S. Twin circumflex arteries: a rare coronary artery anomaly. J Invasive Cardiol. 2008;20:E54-5