Intravesical migration of a sub-urethral tension-free vaginal tape (TVT) sling: about a case and review of the literature
Abstract
Sub-urethral support techniques using synthetic sling are the current gold standard in the treatment of stress urinary incontinence. We report the case of a 60-year-old female patient with a personal history of stress urinary incontinence treated with suburethral TVT sling in 2008. Intraoperative cystoscopy was normal. Six years later the patient had recurrent urinary tract infections caused by Escherichia Coli, resistant to all appropriate antibiotics. The patient underwent ultrasound which objectified intravesical stone measuring 2.5 cm on the major axis; post-void residual urine volume was zero. Fibroscopy showed intravesical sling surrounded by a large calcification. Our patient underwent conservative treatment, which consisted of endoscopic section of the intravesical portion of the sling with preservation of the sub-urethral portion. The calculi was fragmented using Lithoclast. Functionally, our patientis is continent.
Les techniques de soutènement sous urétral par bandelette synthétique constituent le gold standard actuel pour la prise en charge de l’incontinence urinaire d’effort. Nous rapportant le cas d’une patiente de 60 ans, ayant comme antécédents une incontinence urinaire d’effort traitée par une bandelette sous urétrale type TVT (Tension free Vaginal Tape) en 2008. La cystoscopie per opératoire était normale. Six ans plus tard la patiente a présenté des infections urinaires à répétition, à Escherichia Coli, rebelles à toute antibiothérapie adaptée. Une…
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