An Unusual Case of Acute Complete Urinary Incontinence 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion

Keller Nicole,Schmid Seraina,Haemmerle Beatrix

doi:10.23937/2377-9004/1410150

Abstract

An 81-year-old woman presented herself with disturbing stress urinary incontinence and symptomatic pelvic organ prolapse. 30 years before she had had an abdominal hysterectomy and presumably a colposuspension. To repair the symptomatic pelvic floor disorder the patient needed an anterior and posterior colporrhaphy, vaginal repair of enterocele and anterior rectocele. Additionally, a tension-free midurethral sling (retropubic tension-free vaginal tape) was implanted because of stress urinary incontinence. Seven days postoperativelyshe resumed the prophylactic intake of acetylsalicylic acid. The first follow-up 14 days after surgery showed a correct position of the sling and the patient was continent. 20 days later an acute vaginal vault hematoma and complete urinary incontinence occurred.

Highlights

Stress urinary incontinence is the involuntary leakage of urine during physical exertion, such as physical exercise, coughing or laughing [1]
The volume of the hematoma caused the dislocation of the retropubic tension-free vaginal tape, which resulted in complete urinary incontinence
We present the case of acute complete urinary incontinence 20 days after pelvic floor surgery and midurethral sling operation

Summary

Introduction

Stress urinary incontinence is the involuntary leakage of urine during physical exertion, such as physical exercise, coughing or laughing [1]. A tensionfree midurethral sling (retropubic tension-free vaginal tape) was implanted because of stress urinary incontinence. 20 days later an acute vaginal vault hematoma and complete urinary incontinence occurred.

Results

Conclusion