Peer-reviewed veterinary case report
Unexpected difficulty passing vaginal tape during stress urinary
By Posada MLC & Arias K.·2026·Department of Urology·View original on Europe PMC →
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Original publication title: An unusual intraoperative finding during tension-free vaginal tape surgery for stress urinary incontinence: a case report.
Plain-English summary
A 64-year-old woman who had surgery for a hernia in the past was experiencing stress urinary incontinence, which means she was leaking urine when she laughed, sneezed, or exercised. She underwent a procedure called tension-free vaginal tape (TVT) to help with this issue. During the surgery, the doctor had trouble placing the tape on the left side, which took several attempts to get right. This difficulty was likely caused by scar tissue or a mesh from her previous surgery affecting the area. After the surgery, she recovered without any problems, showing that the treatment was successful.
Abstract
Stress urinary incontinence is commonly managed with tension-free vaginal tape (TVT), a highly effective mid-urethral sling procedure. We report the case of a 64-year-old woman with prior left inguinal herniorrhaphy who presented with urodynamically confirmed stress incontinence. During retropubic TVT placement, marked resistance was encountered on the left side, requiring multiple attempts before successful passage. Her postoperative course was uneventful. This unusual technical difficulty was likely related to fibrosis or mechanical interference from a prior groin mesh. The case underscores the importance of detailed surgical history and, when indicated, preoperative imaging to anticipate anatomical variations that may complicate sling placement.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41799001