Urethral erosion of tension-free vaginal tape presenting as recurrent stress urinary incontinence

Clifford Y. Wai, Shanna D. Atnip, Kristin N. Williams, Joseph I. Schaffer

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The suburethral sling with tension-free vaginal tape (TVT) has become a popular treatment for stress urinary incontinence. Erosion of the mesh into the urethra is rare, usually presenting with hematuria, pain, voiding dysfunction or urge incontinence. A patient with stress incontinence was treated with a TVT suburethral sling. One month later, symptoms of recurrent stress incontinence developed. Cystourethroscopy revealed urethral mesh erosion. Surgical removal involved cystourethroscopic-assisted transurethral resection of the mesh, followed by vaginal dissection and periurethral withdrawal. Urethral mesh erosion should be considered in a patient who presents with atypical symptoms after being treated with a suburethral sling. It is important to obtain a detailed history and have a high clinical index of suspicion for erosion. Careful and comprehensive urethroscopy, in addition to cystoscopy, should be a mandatory part of the TVT procedure. Further study is needed to determine the optimal technique for mesh removal.

Original languageEnglish (US)
Pages (from-to)353-355
Number of pages3
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume15
Issue number5
DOIs
StatePublished - Sep 2004

Fingerprint

Suburethral Slings
Stress Urinary Incontinence
Urge Urinary Incontinence
Cystoscopy
Hematuria
Urethra
Dissection
History
Pain

Keywords

  • Cytourethroscopy
  • Mesh erosion
  • Stress urinary incontinence
  • TVT
  • Urethral erosion

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Urethral erosion of tension-free vaginal tape presenting as recurrent stress urinary incontinence. / Wai, Clifford Y.; Atnip, Shanna D.; Williams, Kristin N.; Schaffer, Joseph I.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 15, No. 5, 09.2004, p. 353-355.

Research output: Contribution to journalArticle

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