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Updated: Jun 16, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Bowel perforation during retropubic sling procedure.

Kristin E Rooney¹, Hilary J Cholhan

¹From the Women's Continence Center of Greater Rochester, Rochester, New York.

Obstetrics and Gynecology

|January 23, 2010

Summary

Bowel perforation is a rare complication of tension-free vaginal tape (TVT) slings, even without prior abdominal surgery. Prompt surgical intervention is crucial for a favorable outcome in these cases.

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Last Updated: Jun 16, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Area of Science:

Urogynecology
Surgical Complications

Background:

Tension-free vaginal tape (TVT) slings are used for pelvic organ prolapse.
Bowel perforation is a rare but serious complication associated with TVT procedures.
Previous abdominal or pelvic surgery is a known risk factor.

Observation:

A 77-year-old woman without prior abdominal surgery underwent TVT sling placement for pelvic organ prolapse.
Postoperatively, she developed an enterocutaneous fistula, diagnosed via CT scan.
The fistula was successfully treated with surgical intervention.

Findings:

This case demonstrates that bowel perforation can occur after TVT sling placement even in the absence of prior abdominal or pelvic surgery.
The development of an enterocutaneous fistula highlights a severe complication of TVT procedures.

Implications:

Clinicians should maintain a high index of suspicion for bowel perforation in patients presenting with postoperative complications after TVT sling placement, regardless of surgical history.
Early diagnosis and prompt surgical management are essential for achieving favorable outcomes in patients experiencing this rare complication.