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Strict adherence to protocols for inserting tension-free vaginal tape should be closely followed, according to the authors of the first report of a case of transurethral penetration of the tape.
In the report, Dr. Heinz Koelbl and his associates at Martin-Luther University, Halle-Wittenberg, Germany, described a 45-year-old woman who developed persistent urinary retention that wasn't relieved even after the tension-free vaginal tape (TVT) was cut.
A bladder stone was diagnosed and removed. One year after her primary surgery the patient reported intolerable urgency dysuria, nocturia, and pelvic pain.
Urethrocystoscopy showed the tape penetrating through the urethra, but due to excessive fibrosis of the surrounding tissue, removal of the tape required an ...
Source: HighBeam Research, Persistent urinary retention tied to TVT use. (Case Report).