Vaginal Erosion of the TVT Band: Bimodal Management Including the Contribution of Coelioscopy

Gallouo Messian,Aboutaieb Rachid,Dakir Mohamed,Hagguir Hissein,Nedjim Saleh Abdelkerim,Debbagh Adil,Moataz Amine,Talal Abdelkader,Parianu Bogdan

doi:10.23937/2469-5742/1510078

Abstract

It's about a 63-year-old patient who had benefited of a tension-free vaginal tape for stress incontinence at the age of 41. The procedure resulted in vaginal wall erosion revealed by repeated urinary tract infections, suspected by a digital per-rectal examination and confirmed by under-valve examination. The total removal of the strip was performed vaginally and laparoscopically. The post-operative course was simple.

Highlights

The sub-urethral sling (SUB) is a commonly used therapeutic device in urology for the treatment of stress incontinence caused by sagging of the urethra
It’s about a 63-year-old patient who had benefited of a tension-free vaginal tape for stress incontinence at the age of 41
The technical ease and the increasing number of patients consulting for urinary incontinence should not make us forget the respect of a good indication and the complications related to the placement of the tape [1]

Summary

Introduction

The sub-urethral sling (SUB) is a commonly used therapeutic device in urology for the treatment of stress incontinence caused by sagging of the urethra. We are reporting a rare case of post TVT vaginal erosion and discussing the diagnosis and therapeutic management. It’s about a 63-year-old female patient who had benefited of a TVT for stress urinary incontinence. There was no more urinary leakage on effort. Three years ago, she started to have recurrent urinary tract infections with haematuria which was treated as cystitis without improvement. She started to have recurrent urinary tract infections with haematuria which was treated as cystitis without improvement Two years later, she started to present irritative lower urinary tract symptoms (burning micturition, urgenturia and nocturia with 3-4 nocturnal lifts) evolving by flare-ups for which she was put on anticholinergic drugs. Under-valve examination revealed: an erosive strip of the anterior vaginal wall (Figure 1). The patient was discharged at D1 and reviewed one month later, she was continent

Discussion

Conclusion