Open Access Case Report

Ureteral Stenosis after Uterine Suspension Using TVM (Transvaginal Mesh)

Hun Shan Pan1,2, Wei-Jiun Li1, Ma Lee Ko4, Yan-Fong Lu1, Kenneth Pan3, Cristiana Pan3, Jier Zen Chang1* and Lee Wen Huang1,2

1Obstetrics and Gynecology Department, Shin Kong Wu Ho Su Memorial Hospital, Taiwan

2Fu Jen Catholic University, Taiwan

3University of British Columbia, Canada

4Ranchlands Medical Center, Canada

Corresponding Author

Received Date: April 16, 2019;  Published Date: April 23, 2019


We report a rare case of ureteral stenosis after sacrospinous suspension. A 64-year-old post-menopausal female, G2P2, complained of a heavy sensation and the feeling of sitting on a ball, especially in the afternoon. Tracing back her previous surgical history, she had undergone a cesarean section and subtotal hysterectomy due to myoma with severe adhesion. A pelvic examination revealed total prolapse of the vaginal cervix with stage III cystocele. A urodynamic study revealed bladder outlet obstruction, and a pad test was 13g after restoring the vaginal cervix. Therefore, after explaining the risks and complications of surgery, Pelvic organ prolapse (POP) surgery including sacrospinous suspension (Upholds), mid-urethral sling surgery (Solyx) and anterior compartment repair was performed.

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