Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 30;13(1):119.
doi: 10.1186/s13256-019-2059-y.

Transobturator tape material detected in the bladder neck: a case report

Yavuz Güler  1 , Akif Erbin  2 , Burak Üçpınar  2
Affiliations
Case Reports

Transobturator tape material detected in the bladder neck: a case report

Yavuz Güler et al. J Med Case Rep. .

Abstract

Introduction: Stress urinary incontinence surgeries (transobturator tape and tension-free vaginal tape) are safely performed with success rates over 90%. The transobturator tape procedure attracted more attention due to the lack of major complications, such as intraabdominal organ and vascular injuries, related to the tension-free vaginal tape procedure. Although there are no major or mortality-related complications, more lower urinary complaints, especially vaginal erosion, are reported in transobturator tape surgery. Here we present a rare complication of transobturator tape surgery: the accidental placement of mesh material in the bladder neck. With this case report, we aimed to discuss the diagnosis and management of misplaced transobturator tape material.

Case presentation: A 38-year-old Caucasian woman who had stress urinary incontinence that had persisted for 6 years underwent transobturator tape surgery in a different clinic 2 years ago. Subsequently, she presented to our clinic with lower urinary tract complaints such as incontinence and dysuria. A physical examination was unremarkable besides total incontinence. A diagnostic cystoscopy was performed and sling material that crossed her bladder neck from 3 o'clock to 10 o'clock was identified. The misplaced transobturator tape material was cut endoscopically with an internal urethrotomy knife. Afterwards, a midurethral incision was made and mesh parts were removed bilaterally. After successful removal of the mesh material, a new transobturator tape was placed.

Conclusions: Even though transobturator tape surgery is a safe and effective procedure for stress urinary incontinence, certain complications can be encountered. Misplacement of the mesh material through the bladder neck is a rare complication and can be managed by successfully removing the mesh material and appropriately placing new transobturator tape material.

Keywords: Neuro-urology; Stress incontinence; Transobturator tape surgery; Uro-gynecology.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The blue arrows show the mesh material passing through the bladder neck. The red arrow indicates the granulation tissue around the sling material. The dark arrow shows the urethrotomy knife
See this image and copyright information in PMC

References

    1. Tommaselli GA, Di Carlo C, Formisano C, Fabozzi A, Nappi C. Medium-term and long-term outcomes following placement of midurethral slings for stress urinary incontinence: a systematic review and metaanalysis. Int Urogynecol J. 2015;26:1253–1268. doi: 10.1007/s00192-015-2645-5. - DOI - PubMed
    1. Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG. 2007;114:522–531. doi: 10.1111/j.1471-0528.2007.01268.x. - DOI - PubMed
    1. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7:81–85. doi: 10.1007/BF01902378. - DOI - PubMed
    1. Brubaker L, Norton PA, Albo ME, et al. Adverse events over two years after retropubic or transobturator midurethral sling surgery: findings from the Trial of Midurethral Sling (TOMUS) study. Am J Obstet Gynecol. 2011;498:41–49. - PMC - PubMed
    1. Ozdemir A, Cakır S, Sozen H, et al. Development of bladder stone after tension free vaginal tape procedure: a case report [Gerilimsiz vajinal bant leminden sonra mesane taşı gelişimi: Bir olgu raporu] J Turkish-German Gynecol Assoc. 2011;12:256–258. doi: 10.5152/jtgga.2011.59. - DOI - PMC - PubMed

Publication types