Open AccessBladder perforation: A missed diagnosis posttransobturator tape
Author(s) -
Vineet Mishra,
Ruchika Verneker,
Sunita Lamba
Publication year - 2018
Publication title -
journal of mid-life health
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.423
H-Index - 11
eISSN - 0976-7819
pISSN - 0976-7800
DOI - 10.4103/jmh.jmh_22_18
Subject(s) - dysuria , medicine , cystoscopy , complication , perforation , surgery , urinary bladder , urinary system , materials science , punching , metallurgy
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.