Bladder Stone Formation After A Tension Free Vaginal Tape Procedure: Report On Two Cases

December 3, 2007 – 12:27 pm | posted in Urology / Nephrology

UroToday.com -Stone formation on the intravesical portion of the sling is very rare. Recognition of bladder perforation during the continence procedure and correct re-insertion of the sling is the best way to avoid such a complication. However, inadvertently submucosally placed tapes, which can be missed on cystoscopy, may also predispose to bladder stone formation through pressure necrosis of the mucosa and gradual penetration of the tape into the bladder. The optimal way to recognize bladder perforation is a meticulous cystourethroscopy with 70-degree cystoscope. However, cystoscopy sometimes may fail to identify bladder perforation. In the case of a high suspicion of bladder perforation increasing the bladder distension, application of pressure on the bladder, or transurethral instillation of methylene blue may be helpful to confirm the existence of bladder injury.

Written by Vassilios Tzortzis, MD - Department of Urology, University of Thessaly School of Medicine, Larissa, Greece, as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc… of their research by referencing the published abstract.

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