• Fernando Vila, Manuel Castanheira de Oliveira, Mário Jõao Gomes, and Filinto Marcelo.
• Urology Department, Centro Hospitalar do Porto, Hospital de Santo António, Portugal.
• Arch. Esp. Urol. 2012 Nov 1; 65 (9): 834-6.

ObjectiveBladder injuries are quite rare and complex complications of transobturator tapes in the treatment of female stress urinary incontinence, with very few published cases. The authors present a case report and discuss possible injury mechanisms and the role of cystoscopy in this setting.MethodsA 51 year-old female with past surgical history of Burch colposuspension underwent an uneventful transobturator tape surgery. After 15 days, she complained of dysuria and frequency. Cystoscopy revealed the tape protruding within the bladder.ResultsReoperation was performed with the sub-urethral segment of the tape removed by vaginal approach and the vesical one excised endoscopically. Presently, the patient is asymptomatic.ConclusionsIn patients with previous incontinence surgical treatments, cystoscopy at the time of surgery should be considered to exclude and treat eventual injuries, in order to avoid future complications.

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