Document Detail

Bladder injury during trans-obturator tape surgery in a patient with previous colposuspension: is there a connection?
MedLine Citation:
PMID:  23154608     Owner:  NLM     Status:  Publisher    
OBJECTIVE: Bladder injuries are quite rare and complex complications of transobturator tapes in the treatment of female stress urinary incontinence, with very few published cases. The authors present a case report and discuss possible injury mechanisms and the role of cystoscopy in this setting. METHODS: A 51 year-old female with past surgical history of Burch colposuspension underwent an uneventful transobturator tape surgery. After 15 days, she complained of dysuria and frequency. Cystoscopy revealed the tape protruding within the bladder. RESULTS: Reoperation was performed with the sub-urethral segment of the tape removed by vaginal approach and the vesical one excised endoscopically. Presently, the patient is asymptomatic. CONCLUSIONS: In patients with previous incontinence surgical treatments, cystoscopy at the time of surgery should be considered to exclude and treat eventual injuries, in order to avoid future complications.
Fernando Vila; Manuel Castanheira de Oliveira; Mário Jõao Gomes; Filinto Marcelo
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Publication Detail:
Journal Detail:
Title:  Archivos espanoles de urologia     Volume:  65     ISSN:  1576-8260     ISO Abbreviation:  Arch. Esp. Urol.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0064757     Medline TA:  Arch Esp Urol     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  834-836     Citation Subset:  -    
Urology Department. Centro Hospitalar do Porto.Hospital de Santo António. Porto. Portugal.
Vernacular Title:
Lesión vesical en procedimiento con banda transobturatriz con colposuspensión previa: =existe alguna conexión?.
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