Mahdy Ayman, Elmissiry Mostafa, Ghoniem Gamal M
Urology Department, Section of Female Urology, Voiding Dysfunction, and Reconstructive Surgery, Cleveland Clinic, Weston, Florida, USA.
Urology. 2008 Aug;72(2):461.e5-6. doi: 10.1016/j.urology.2007.12.024. Epub 2008 Mar 20.
This study presents the third case in the literature of a urethral diverticulum after the tension-free vaginal tape (TVT) procedure, with an additional finding of the diverticulum developing distal to the tape. A 54-year-old woman, with 3 years' status post-TVT, presented with urinary tract infection and infravesical obstruction. Urethrocystoscopy revealed a urethral diverticulum just distal to the sling site. Transvaginal diverticulectomy and excision of the sling was done, with improvement of symptoms at 1-year follow-up.