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Obstet Gynecol. 2006 Sep;108(3 Pt 2):713-5.

Bilateral bladder erosion of a transobturator tape mesh.

Author information

  • 1Division of Urogynecology, Department of Obstetrics and Gynecology, Geisinger Health Systems, Danville, PA 17822, USA.

Abstract

BACKGROUND:

The transobturator tape procedure is reported to be an effective procedure with low complication rates.

CASE:

A 45-year-old woman underwent surgery for prolapse and incontinence. The surgery included transobturator tape. Intraoperative cystoscopy was not performed. Postoperatively, a mesh erosion into the bladder on the left side and a large cystocele were diagnosed. The patient underwent a combined transurethral and suprapubic mesh resection. Six months later, she had another mesh erosion on the contralateral side. This time, a complete vaginal resection of the mesh was performed.

CONCLUSION:

Intraoperative cystoscopy should be considered after a transobturator tape procedure. Bilateral mesh erosion may result from motion of a cystocele against a fixed transobturator tape. Concurrent repair of the cystocele to prevent future mesh erosions may be warranted.

PMID:
17018474
[PubMed - indexed for MEDLINE]
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