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Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):261-3. doi: 10.1007/s00192-008-0705-9. Epub 2008 Aug 21.

Transurethral mesh resection after urethral erosion of tension-free vaginal tape: report of three cases and review of literature.

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  • 1Department of Urology, Leiden University Medical Centre, Postbus 9600, 2300 RC, Leiden, the Netherlands.


A rare complication after tension-free vaginal tape (TVT; including TVT-O) procedure is erosion of the tape through the urethral wall. In the literature, different methods to remove this intra-urethral tape are described. Most authors used the transvaginal approach with urethrotomy. In the cases described in this article, the transurethral approach is applied and proposed as the optimal method, being minimally invasive and less damaging to the urethral wall A transurethral catheter can be removed shortly after surgery to enable optimal tissue healing of the urethral mucosa.

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