Delayed diagnosis of vascular injury with a retropubic midurethral sling

Muhammad Faisal Aslam, Mary Anna Denman

Research output: Contribution to journalArticle

3 Scopus citations

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 1 2013

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

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