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Urethral erosion of a tension-free vaginal tape
Brett J Vassallo1, Steven D Kleeman, Jeffrey Segal
1Seton Center for Advanced Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio, USA. bvassall@babies.bsd.uchicago.edu
Background:
Urethral dilation has been recommended to treat voiding dysfunction that may occur after placement of tension-free vaginal tape (TVT) for the treatment of stress urinary incontinence. We report on a case of urethral erosion by the tape secondary to repetitive urethral dilations after surgery.
Case:
A urethral erosion by the tape was diagnosed by cystoscopy after three urethral dilations failed to resolve postoperative voiding dysfunction 8 weeks after the initial procedure. A partial tape revision with repair of the urethrotomy was performed, with resolution of the subject's voiding dysfunction.
Conclusion:
This report describes a potential complication of a recommended treatment for voiding dysfunction after placement of TVT.