Mishra Vineet V, Verneker Ruchika A, Lamba Sunita
Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India.
J Midlife Health. 2018 Oct-Dec;9(4):216-218. doi: 10.4103/jmh.JMH_22_18.
The advent of transobturator tape (TOT) in 2001 reduced the risk of bladder perforation to 1% in TOT as compared to 5% in tension-free vaginal tape (TVT). We present a case of bladder perforation in TOT where the diagnosis was missed for 5 years. This patient presented with dysuria and dyspareunia repeatedly and was treated for repeated urinary tract infection. The mesh was excised by cystoscopy, following which the symptoms were relieved. Thus, bladder perforation through a rare complication of TOT should always be ruled out in patients presenting with the failure of surgery or irritable detrusor activity such as dysuria and urgency.
2001年经闭孔尿道中段悬吊带术（TOT）的出现，使该手术导致膀胱穿孔的风险降至1%，而无张力阴道吊带术（TVT）的这一风险为5%。我们报告一例TOT术后膀胱穿孔病例，该穿孔在5年内一直未被诊断出来。该患者反复出现排尿困难和性交疼痛，并因反复的尿路感染接受治疗。通过膀胱镜检查切除了补片，随后症状缓解。因此，对于手术失败或出现排尿困难和尿急等逼尿肌激惹活动的患者，应始终排除TOT罕见并发症——膀胱穿孔的可能。
