Delayed diagnosis of vascular injury with a retropubic midurethral sling

Muhammad Faisal Aslam, Mary Denman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Retropubic midurethral slings are the mainstay of treatment for female stress urinary incontinence. Complications of this approach may have long-term implications. Case: A 55-year-old woman underwent tension-free vaginal tape (TVT) placement. Five years later back pain and gross hematuria prompted cystoscopy and diagnosis of bladder mesh erosion. During surgery to remove the mesh, the left arm of the mesh was found to be through the external iliac vein. The right mesh arm traversed the bladder, laterally around the obturator nerve and right iliac vein, exiting through the peritoneal cavity. Conclusion: Neurovascular injury is a rare but serious consequence of TVT. Delayed diagnosis is possible. This case highlights the importance of using recognized landmarks and established surgical technique for TVT placement.

Original languageEnglish (US)
Pages (from-to)444-446
Number of pages3
JournalObstetrics and Gynecology
Volume122
Issue number2 PART2
DOIs
StatePublished - Aug 2013

Fingerprint

Suburethral Slings
Vascular System Injuries
Delayed Diagnosis
Iliac Vein
Urinary Bladder
Arm
Obturator Nerve
Cystoscopy
Stress Urinary Incontinence
Peritoneal Cavity
Hematuria
Back Pain
Wounds and Injuries

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Delayed diagnosis of vascular injury with a retropubic midurethral sling. / Aslam, Muhammad Faisal; Denman, Mary.

In: Obstetrics and Gynecology, Vol. 122, No. 2 PART2, 08.2013, p. 444-446.

Research output: Contribution to journalArticle

Aslam, Muhammad Faisal ; Denman, Mary. / Delayed diagnosis of vascular injury with a retropubic midurethral sling. In: Obstetrics and Gynecology. 2013 ; Vol. 122, No. 2 PART2. pp. 444-446.
@article{37096e624465404f82cd2b1f8c2d7820,
title = "Delayed diagnosis of vascular injury with a retropubic midurethral sling",
abstract = "Background: Retropubic midurethral slings are the mainstay of treatment for female stress urinary incontinence. Complications of this approach may have long-term implications. Case: A 55-year-old woman underwent tension-free vaginal tape (TVT) placement. Five years later back pain and gross hematuria prompted cystoscopy and diagnosis of bladder mesh erosion. During surgery to remove the mesh, the left arm of the mesh was found to be through the external iliac vein. The right mesh arm traversed the bladder, laterally around the obturator nerve and right iliac vein, exiting through the peritoneal cavity. Conclusion: Neurovascular injury is a rare but serious consequence of TVT. Delayed diagnosis is possible. This case highlights the importance of using recognized landmarks and established surgical technique for TVT placement.",
author = "Aslam, {Muhammad Faisal} and Mary Denman",
year = "2013",
month = "8",
doi = "10.1097/AOG.0b013e31829919b3",
language = "English (US)",
volume = "122",
pages = "444--446",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "2 PART2",

}

TY - JOUR

T1 - Delayed diagnosis of vascular injury with a retropubic midurethral sling

AU - Aslam, Muhammad Faisal

AU - Denman, Mary

PY - 2013/8

Y1 - 2013/8

N2 - Background: Retropubic midurethral slings are the mainstay of treatment for female stress urinary incontinence. Complications of this approach may have long-term implications. Case: A 55-year-old woman underwent tension-free vaginal tape (TVT) placement. Five years later back pain and gross hematuria prompted cystoscopy and diagnosis of bladder mesh erosion. During surgery to remove the mesh, the left arm of the mesh was found to be through the external iliac vein. The right mesh arm traversed the bladder, laterally around the obturator nerve and right iliac vein, exiting through the peritoneal cavity. Conclusion: Neurovascular injury is a rare but serious consequence of TVT. Delayed diagnosis is possible. This case highlights the importance of using recognized landmarks and established surgical technique for TVT placement.

AB - Background: Retropubic midurethral slings are the mainstay of treatment for female stress urinary incontinence. Complications of this approach may have long-term implications. Case: A 55-year-old woman underwent tension-free vaginal tape (TVT) placement. Five years later back pain and gross hematuria prompted cystoscopy and diagnosis of bladder mesh erosion. During surgery to remove the mesh, the left arm of the mesh was found to be through the external iliac vein. The right mesh arm traversed the bladder, laterally around the obturator nerve and right iliac vein, exiting through the peritoneal cavity. Conclusion: Neurovascular injury is a rare but serious consequence of TVT. Delayed diagnosis is possible. This case highlights the importance of using recognized landmarks and established surgical technique for TVT placement.

UR - http://www.scopus.com/inward/record.url?scp=84880946946&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880946946&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e31829919b3

DO - 10.1097/AOG.0b013e31829919b3

M3 - Article

VL - 122

SP - 444

EP - 446

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 2 PART2

ER -