Bayrak Ömer, Erbağcı Ahmet, Şen Haluk, Erturhan Sakıp, Yağcı Faruk, Seçkiner İlker
Department of Urology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
Turk J Urol. 2013 Dec;39(4):277-80. doi: 10.5152/tud.2013.067.
Currently, minimally invasive surgeries, which are often characterized by reliable and successful results, are preferred for the treatment of stress urinary incontinence. Although all of the currently used surgeries are minimally invasive, morbidities, including hemorrhage, voiding dysfunction, infection, pain, skin infection and erosion, and bladder injuries, are observed. We detected bladder injury in a 42-year-old female patient with complaints of burning and pain during urination who had previously undergone transobturator tape (TOT) surgery. Complete abdominal hysterectomy for a secondary myoma and a TOT procedure had been simultaneously performed 3 months prior to her presentation. Cystoscopy demonstrated a foreign body compatible with sling material in the bladder which was extracted transvaginally.
目前，微创手术常用于治疗压力性尿失禁，这类手术往往具有可靠且成功的治疗效果。尽管目前所有使用的手术都是微创手术，但仍观察到一些并发症，包括出血、排尿功能障碍、感染、疼痛、皮肤感染与糜烂以及膀胱损伤。我们在一名42岁女性患者中检测到膀胱损伤，该患者主诉排尿时有烧灼感和疼痛，此前接受过经闭孔尿道中段悬吊带术（TOT）。在她就诊前3个月，因继发性肌瘤同时进行了全腹子宫切除术和TOT手术。膀胱镜检查显示膀胱内有与吊带材料相符的异物，经阴道将其取出。
