Ortega CVMJ, Velázquez SMP, Kunhardt RJR

Language: Spanish
References: 13
Page: 393-395
PDF size: 215.64 Kb.

ABSTRACT

Tension free vaginal tape is a minimally invasive surgical procedure for urinary incontinence treatment. Urethral erosion is an uncommon complication which presents in around 0.9% of the cases after the procedure. Case: Female of 68 year old with an urodynamic diagnosis of type II stress urinary incontinence treated surgically with a tension free vaginal tape in February 2003 without any intraoperative complications. In the post-op she had acute urinary retention for one week, needing a transurethral catheter. Three months after surgery she reported dysuria, hematuria, frequency and urgency; the physical examination was normal with a positive urine culture to Escherichia Coli sensitive to Nitrofurantoine. A cystoscopy was performed with the following findings: the tape was found in 25% of the right lower quadrant mid third of the urethra, the tape was cut vaginally without any further complications.

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