A Rare Complication of Tension-free Vaginal Tape Procedure: Intra-urethral Vaginal Tape Geri̇li̇msi̇z Vaji̇nal Bant İşlemi̇ni̇n Nadi̇r Bi̇r Kompli̇kasyonu: Üretra İçi̇ Vaji̇nal Bant

Intra-urethral vaginal tape is a rare complication of tension-free vaginal tape (TVT) procedure. A 41year-old woman with intra-urethral vaginal tape after TVT procedure is presented. The presenting symptoms were urge incontinence and dysparonia. The patient has received anticholinergic drugs and vaginal estrogen, but the symptoms had not been resolved with both this regimen. The diagnosis was made by urethro-cystoscopy. Transvaginal surgical approach was performed to the patient. The vaginal tape was excised completely and urethral defect was repaired. The symptoms were resolved at postoperative 1 month. No complication was observed during 6 months follow-up. Likewise the case, TVT procedure may not imply minimum risk. Surgeon should keep in the mind intra-urethral vaginal tape in a patient who presents with persistent urge incontinence and dysparonia after TVT procedure. Open surgery is necessary for complete removal of intra-urethral synthetic tape after TVT procedure. (Pam Med J 2009;2(1):35-37).