Department of Urology, University of Michigan Medical Center, Ann Arbor, Mich., USA.

This email address is being protected from spam bots, you need Javascript enabled to view it

A case of a urethral diverticulum following the insertion of a tension-free vaginal tape (TVT) is presented. The patient was a woman with stress urinary incontinence who underwent surgery to correct intrinsic sphincter deficiency. Three cases of urethral diverticula have been published thus far as complications of TVT insertions, but this is the first complication associated with intrinsic sphincter deficiency. The high pressures in the proximal urethra that result from positioning the TVT in the middle urethra, especially when obstruction co-exists with an open bladder neck, can be a predisposing factor for this complication. The possibility of a urethral diverticulum when postvoid incontinence occurs after the insertion of a TVT should be carefully evaluated.

Written by:
Athanasopoulos A, McGuire EJ.   Are you the author?

Go "Beyond the Abstract" - Read an Article Written by the Author for UroToday.com

Reference:
Urol Int. 2008;81(4):480-2.
doi:10.1159/000167852

PubMed Abstract
PMID:19077415

UroToday.com Stress Urinary Incontinence Section

Please log-in or register in order to submit comments.

Powered by AkoComment!