Complications of the suburethral sling in the form of Mini Vaginal Tape (MVT): A case report

Md Mominul Islam; Md Saiful Islam; A K M Khurshidul Alam; Mohammad Monsur Hallaz

doi:10.1016/j.ijscr.2022.106946

Complications of the suburethral sling in the form of Mini Vaginal Tape (MVT): A case report

Int J Surg Case Rep. 2022 Apr:93:106946. doi: 10.1016/j.ijscr.2022.106946. Epub 2022 Mar 16.

Authors

Md Mominul Islam¹, Md Saiful Islam², A K M Khurshidul Alam³, Mohammad Monsur Hallaz⁴

Affiliations

¹ Indoor medical officer (KGH), Ex-Resident, Department of Urology, Bangabandhu Sheikh Mujib Medical University, Bangladesh. Electronic address: drmominss33@gmail.com.
² Female androurologist, Department of Urology, Bangabandhu Sheikh Mujib Medical University, Bangladesh. Electronic address: msisalim@gmail.com.
³ Department of Urology, Bangabandhu Sheikh Mujib Medical University, Bangladesh. Electronic address: khurshiduro@gmail.com.
⁴ Department of Urology, Ibn Sina Medical College Hospital, Bangladesh. Electronic address: mmhallaz@yahoo.com.

Abstract

Synthetic sub-urethral sling has become the most widely used technique for the surgical management of stress urinary incontinence. Despite a higher success rate, complications like migration, encrustation, and stone formation have been reported by a mid-urethral sling (MUS). Among mid-urethral sling procedures, mini vaginal tape (MVT) is very popular. As periurethral stone formation and urethrovaginal fistula are very uncommon after MVT, case report on this issue is sparse. The current case report features a 55-year female presented with lower abdominal pain and continuous urinary incontinence, 10 years after the MVT. She was diagnosed as a case of periurethral stone with urinary incontinence due to urethro-vaginal fistula. Our surgical team successfully removed the stone formed by the encrustation of the displaced tape and repaired the fistula. Following the MVT, a high degree of suspicion and long-term follow-up is mandatory for the diagnosis and management of these rare complications.

Keywords: Case report; Mid urethral sling (MUS); Mini vaginal tape (MVT); Peri-urethral stone; Sub urethral sling; Tension-free vaginal tape (TVT); Transobturator tape (TOT); Urethro-vaginal fistula (UVF).