A rare complication with TVT: vaginal protrusion of the tape

The authors report a rare postoperative complication of TVT. A 38-year-old woman, suffering from genuine stress incontinence, presented 3 weeks after surgery with a 1 cm protrusion of the TVT across the median vaginal scar. A fastening point on the tape and covering it with the vaginal skin was unsuccessful. Three weeks later, we found a 5 mm protrusion of the tape. At this time we decided to resect the protruding fibers but without interrupting the tape. Regular clinical checks showed good local cicatrization, and 4 weeks later the vaginal epithelium covered the tape completely and the patient no longer suffered from genuine stress incontinence.