Kılınç Ercüment, Akpak Yaşam Kemal
Department of Urology, Ankara Mevki Military Hospital, 06100 Ankara, Turkey.
Department of Obstetrics and Gynecology, Ankara Mevki Military Hospital, 06100 Ankara, Turkey.
Case Rep Med. 2015;2015:731593. doi: 10.1155/2015/731593. Epub 2015 Jan 5.
The transobturator tape (TOT) procedure has become practically widespread worldwide. Complications seem to be rare, but recognizing them intraoperatively is the most significant step because some of the complications which may appear in postoperative period can be challenging for both physicians and patients. The purpose of this case, with this patient who was operated on with open surgery, is to evaluate this rarely seen unrecognized and uncommon bladder perforation after TOT procedure and thus make some contribution to the literature. Here, we present a case report about the treatment of a 48-year-old woman patient with unrecognized and uncommon bladder perforation after TOT procedure, 5 months postoperatively. Cystoscopic evaluation is not recommended routinely, but it must be performed if the patient is complicated enough to create doubt and also the surgeon's skill and ability are not sufficient enough to operate decently.
经闭孔尿道中段悬吊带术（TOT）在全球范围内已得到广泛应用。该手术并发症似乎较为罕见，但术中识别并发症是最为关键的一步，因为术后可能出现的一些并发症对医生和患者来说都颇具挑战性。本病例报道了一名接受开放手术的患者，旨在评估TOT术后罕见的未被识别且不常见的膀胱穿孔情况，从而为相关文献提供参考。在此，我们呈现一例48岁女性患者在TOT术后5个月出现未被识别且不常见的膀胱穿孔的治疗病例报告。通常不建议常规进行膀胱镜检查，但如果患者病情复杂到足以引发疑虑，且外科医生的技术和能力不足以进行妥善手术时，则必须进行膀胱镜检查。
