Vila Fernando, Castanheira de Oliveira Manuel, Gomes Mário Jõao, Marcelo Filinto
Urology Department, Centro Hospitalar do Porto, Hospital de Santo António, Portugal.
Arch Esp Urol. 2012 Nov;65(9):834-6.
Bladder injuries are quite rare and complex complications of transobturator tapes in the treatment of female stress urinary incontinence, with very few published cases. The authors present a case report and discuss possible injury mechanisms and the role of cystoscopy in this setting.
A 51 year-old female with past surgical history of Burch colposuspension underwent an uneventful transobturator tape surgery. After 15 days, she complained of dysuria and frequency. Cystoscopy revealed the tape protruding within the bladder.
Reoperation was performed with the sub-urethral segment of the tape removed by vaginal approach and the vesical one excised endoscopically. Presently, the patient is asymptomatic.
In patients with previous incontinence surgical treatments, cystoscopy at the time of surgery should be considered to exclude and treat eventual injuries, in order to avoid future complications.
膀胱损伤是经闭孔吊带治疗女性压力性尿失禁时极为罕见且复杂的并发症，已发表的病例极少。作者报告一例病例，并讨论可能的损伤机制以及膀胱镜检查在此情况下的作用。
一名有Burch阴道悬吊术手术史的51岁女性接受了顺利的经闭孔吊带手术。15天后，她主诉排尿困难和尿频。膀胱镜检查发现吊带突入膀胱内。
通过阴道途径切除吊带的尿道下段，并在内镜下切除膀胱段，进行了再次手术。目前，患者无症状。
对于既往有尿失禁手术治疗史的患者，手术时应考虑进行膀胱镜检查以排除并治疗可能的损伤，从而避免未来的并发症。
