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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Jul 6, 2015; 4(3): 396-405
Published online Jul 6, 2015. doi: 10.5527/wjn.v4.i3.396
Published online Jul 6, 2015. doi: 10.5527/wjn.v4.i3.396
Urethral complications after tension-free vaginal tape procedures: A surgical management case series
Fotios Sergouniotis, Per-Göran Larsson, Department of Obstetrics and Gynecology, Skaraborg Hospital, SE-541 85 Skövde, Sweden
Björn Jarlshammar, Department of Urology, Skaraborg Hospital, SE-541 85 Skövde, Sweden
Author contributions: Larsson PG and Jarlshammar B performed the surgical management of all cases; Sergouniotis F performed the follow-up urethrocystoscopy; all authors contributed to the drafting and approval of the manuscript.
Ethics approval statement: No ethical approval was required for this case-report series after contacting the Gothenburg Regional Ethical Committee.
Informed consent statement: All study participants provided informed verbal consent prior to the study enrollment, which was obtained at the visits for postoperative follow-up urethrocystoscopy following the tape removal. The patients encouraged us to report the complications, to prevent others from suffering.
Conflict-of-interest statement: All the authors declare no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Fotios Sergouniotis, MD, Department of Obstetrics and Gynecology, Skaraborg Hospital, Lövängsvägen, SE-541 85 Skövde, Sweden. fotios.sergouniotis@vgregion.se
Telephone: +46-73-9726594 Fax: +46-50-0431454
Received: December 18, 2014
Peer-review started: December 18, 2014
First decision: January 20, 2015
Revised: February 25, 2015
Accepted: April 10, 2015
Article in press: April 14, 2015
Published online: July 6, 2015
Peer-review started: December 18, 2014
First decision: January 20, 2015
Revised: February 25, 2015
Accepted: April 10, 2015
Article in press: April 14, 2015
Published online: July 6, 2015
Core Tip
Core tip: We present eight cases of urethral erosion and one of bladder neck erosion after tension-free vaginal tape procedures. The mean interval for complication diagnoses ranged from 3 mo to 11 years. The clinical profile of the complications included de novo urgency, voiding dysfunction, urethritis, relapse of stress incontinence, recurrent urinary tract infections, and hematuria. It is important to consider urethral complications in the postoperative follow-up if these symptoms occur. A control urethrocystoscopy is important for the diagnosis. The transurethral excision of the intraurethral part of the mesh is recommended as the treatment of choice.