Delayed urethral erosion after tension-free vaginal tape

Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jun;17(4):422-5. doi: 10.1007/s00192-005-0008-3. Epub 2006 Apr 26.

Abstract

Urethral erosions have been reported with various sling materials placed by means of various techniques. The patient often presents in the immediate postoperative period, although late presentations have been described. The diagnosis is made on cystoscopy, and mesh excision with urethral reconstruction is advocated. We present the cases of two patients with urethral erosion after mid-urethral polypropylene sling who presented 3 months after surgery with urethral pain, mid-urethral blockage and symptoms of bladder dysfunction. Urethroscopy revealed the mesh bridging the lumen of the urethra. Trans-vaginal mesh excision and layered urethral reconstruction was curative in both patients.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Gynecologic Surgical Procedures / adverse effects
  • Humans
  • Middle Aged
  • Polypropylenes
  • Surgical Mesh / adverse effects*
  • Surgical Mesh / microbiology
  • Urethra / pathology
  • Urethral Obstruction / etiology*
  • Urinary Incontinence, Stress / surgery*
  • Urologic Surgical Procedures / adverse effects*

Substances

  • Polypropylenes