Parekh Mitesh H, Minassian Vatche A, Poplawsky Deborah
Division of Urogynecology, Department of Obstetrics and Gynecology, Geisinger Health Systems, Danville, PA 17822, USA.
Obstet Gynecol. 2006 Sep;108(3 Pt 2):713-5. doi: 10.1097/01.AOG.0000227968.64752.1a.
The transobturator tape procedure is reported to be an effective procedure with low complication rates.
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.
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.
