A Case of Transurethral Inversion of the Bladder and Urinary Incontinence after a Transvaginal Mesh Operation for Complete Prolapse of the Vaginal Stump Cured by Urethroplasty and a Rectus Muscle Fascia Sling Procedure
10.2185/jjrm.65.250
- VernacularTitle:腟断端脱に対する経膣メッシュ手術後の膀胱内反と尿失禁を尿道形成術と腹直筋筋膜スリング手術により治癒しえた1例
- Author:
Osamu NISHIZAWA
;
Naoki HIRABAYASHI
;
Tadayuki KIKUKAWA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2016;65(2):250-253
- CountryJapan
- Language:Japanese
-
Abstract:
The patient was a 66-year-old woman who had a hysterectomy for myoma uteri 20 years before presenting to us, followed by vaginal stump prolapse about 10 years later. At the age of 64 years, she developed dysuria and vaginal stump prolapse and visited the urology clinic. An indwelling urethral catheter was inserted and surgical treatment was recommended. In January 2013, she underwent a complete transvaginal mesh operation for vaginal stump prolapse. Postoperatively, the prolapse was cured but stress urinary incontinence occurred. In June 2013, transobuturator tape was used to treat urinary incontinence. Three months later, transurethral inversion of the bladder became obvious associated with pain, and severe incontinence recurred. In November 2014, urethroplasty and a rectus muscle fascia sling procedure were performed. The transurethral inversion of the bladder was cured and the patient could void without urinary incontinence.
