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Transobturator tape material detected in the bladder neck: a case report

INTRODUCTION: Stress urinary incontinence surgeries (transobturator tape and tension-free vaginal tape) are safely performed with success rates over 90%. The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injur...

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Autores principales: Güler, Yavuz, Erbin, Akif, Üçpınar, Burak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489214/
https://www.ncbi.nlm.nih.gov/pubmed/31036070
http://dx.doi.org/10.1186/s13256-019-2059-y
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author Güler, Yavuz
Erbin, Akif
Üçpınar, Burak
author_facet Güler, Yavuz
Erbin, Akif
Üçpınar, Burak
author_sort Güler, Yavuz
collection PubMed
description INTRODUCTION: Stress urinary incontinence surgeries (transobturator tape and tension-free vaginal tape) are safely performed with success rates over 90%. The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injuries, related to the tension-free vaginal tape procedure. Although there are no major or mortality-related complications, more lower urinary complaints, especially vaginal erosion, are reported in transobturator tape surgery. Here we present a rare complication of transobturator tape surgery: the accidental placement of mesh material in the bladder neck. With this case report, we aimed to discuss the diagnosis and management of misplaced transobturator tape material. CASE PRESENTATION: A 38-year-old Caucasian woman who had stress urinary incontinence that had persisted for 6 years underwent transobturator tape surgery in a different clinic 2 years ago. Subsequently, she presented to our clinic with lower urinary tract complaints such as incontinence and dysuria. A physical examination was unremarkable besides total incontinence. A diagnostic cystoscopy was performed and sling material that crossed her bladder neck from 3 o’clock to 10 o’clock was identified. The misplaced transobturator tape material was cut endoscopically with an internal urethrotomy knife. Afterwards, a midurethral incision was made and mesh parts were removed bilaterally. After successful removal of the mesh material, a new transobturator tape was placed. CONCLUSIONS: Even though transobturator tape surgery is a safe and effective procedure for stress urinary incontinence, certain complications can be encountered. Misplacement of the mesh material through the bladder neck is a rare complication and can be managed by successfully removing the mesh material and appropriately placing new transobturator tape material.
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spelling pubmed-64892142019-06-05 Transobturator tape material detected in the bladder neck: a case report Güler, Yavuz Erbin, Akif Üçpınar, Burak J Med Case Rep Case Report INTRODUCTION: Stress urinary incontinence surgeries (transobturator tape and tension-free vaginal tape) are safely performed with success rates over 90%. The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injuries, related to the tension-free vaginal tape procedure. Although there are no major or mortality-related complications, more lower urinary complaints, especially vaginal erosion, are reported in transobturator tape surgery. Here we present a rare complication of transobturator tape surgery: the accidental placement of mesh material in the bladder neck. With this case report, we aimed to discuss the diagnosis and management of misplaced transobturator tape material. CASE PRESENTATION: A 38-year-old Caucasian woman who had stress urinary incontinence that had persisted for 6 years underwent transobturator tape surgery in a different clinic 2 years ago. Subsequently, she presented to our clinic with lower urinary tract complaints such as incontinence and dysuria. A physical examination was unremarkable besides total incontinence. A diagnostic cystoscopy was performed and sling material that crossed her bladder neck from 3 o’clock to 10 o’clock was identified. The misplaced transobturator tape material was cut endoscopically with an internal urethrotomy knife. Afterwards, a midurethral incision was made and mesh parts were removed bilaterally. After successful removal of the mesh material, a new transobturator tape was placed. CONCLUSIONS: Even though transobturator tape surgery is a safe and effective procedure for stress urinary incontinence, certain complications can be encountered. Misplacement of the mesh material through the bladder neck is a rare complication and can be managed by successfully removing the mesh material and appropriately placing new transobturator tape material. BioMed Central 2019-04-30 /pmc/articles/PMC6489214/ /pubmed/31036070 http://dx.doi.org/10.1186/s13256-019-2059-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Güler, Yavuz
Erbin, Akif
Üçpınar, Burak
Transobturator tape material detected in the bladder neck: a case report
title Transobturator tape material detected in the bladder neck: a case report
title_full Transobturator tape material detected in the bladder neck: a case report
title_fullStr Transobturator tape material detected in the bladder neck: a case report
title_full_unstemmed Transobturator tape material detected in the bladder neck: a case report
title_short Transobturator tape material detected in the bladder neck: a case report
title_sort transobturator tape material detected in the bladder neck: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489214/
https://www.ncbi.nlm.nih.gov/pubmed/31036070
http://dx.doi.org/10.1186/s13256-019-2059-y
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