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Urethral injury associated with minimally invasive mid‐urethral sling procedures for the treatment of stress urinary incontinence: a case series and systematic literature search
Author(s) -
Morton HC,
Hilton P
Publication year - 2009
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2009.02199.x
Subject(s) - medicine , cystoscopy , sling (weapon) , urinary incontinence , surgery , stress incontinence , urology , urethra , urinary system
The introduction of the TVT™ has brought about dramatic changes in our practice as regards surgery for stress urinary incontinence, although the risk of bladder injury has caused concern. The subsequent development of tapes introduced through the obturator foramina may limit the rate of bladder injury, and some have suggested that cystoscopy is no longer required during stress incontinence surgery. Several cases of urethral injury referred to our unit have caused us concern about this approach. We present here brief details of these cases along with a systematic search of the literature on urethral injury following mid‐urethral tape procedures.