McLennan Mary T
Department of Obstetrics, Gynecology and Women's Health, Division of Urogynecology/Reconstructive Pelvic Surgery, St. Louis University School of Medicine, 6420 Clayton Rd, Suite 290, St. Louis, MO 63117, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Sep-Oct;15(5):360-2. doi: 10.1007/s00192-004-1169-1. Epub 2004 May 1.
Urethral erosion is an uncommon complication after tension-free vaginal tape (TVT) procedure. However, management is a challenge and morbidity significant because of the necessity to incise the urethra to gain access to the material. This is a report of a case of transurethral resection of such mesh. A 77-year-old women presented at 7 months postoperatively with complaints of incomplete emptying and persistent incontinence. Urodynamic testing and cystoscopy revealed intrinsic sphincter deficiency, an elevated post void residual and erosion of the TVT tape into the urethral lumen. The tape was removed without any incisions via an operative cystoscope and hysteroscopic scissors. All urinary symptoms resolved. Partial urethral transection can be managed successfully with transurethral resection of the material. This diagnosis should be considered in patients with incomplete emptying and recurrent incontinence.
尿道侵蚀是无张力阴道吊带术（TVT）后一种罕见的并发症。然而，由于需要切开尿道才能取出植入物，处理起来颇具挑战且发病率较高。本文报告了一例经尿道切除此类补片的病例。一名77岁女性在术后7个月就诊，主诉排尿不尽和持续性尿失禁。尿动力学检查和膀胱镜检查显示存在固有括约肌功能不全、残余尿量增加以及TVT吊带侵蚀至尿道腔。通过手术膀胱镜和宫腔镜剪刀在未做任何切口的情况下取出了吊带。所有泌尿系统症状均得到缓解。经尿道切除植入物可成功处理部分尿道横断的情况。对于排尿不尽和复发性尿失禁的患者应考虑这一诊断。
