Ureteral Stenosis after Uterine Suspension Using TVM
(Transvaginal Mesh)

Hun Shan Pan; Wei-Jiun Li; Ma Lee Ko; Yan-Fong Lu; Kenneth Pan; Cristiana Pan; Jier Zen Chang; Lee Wen Huang

Case Report

Ureteral Stenosis after Uterine Suspension Using TVM (Transvaginal Mesh)

Hun Shan Pan^1,2, Wei-Jiun Li¹, Ma Lee Ko⁴, Yan-Fong Lu¹, Kenneth Pan³, Cristiana Pan³, Jier Zen Chang¹* and Lee Wen Huang^1,2

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

Abstract

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.

Article Details

Citation

Jier Zen Chang, Hun Shan Pan, Wei-Jiun Li, Ma Lee Ko, Yan-Fong Lu, et al. Ureteral Stenosis after Uterine Suspension Using TVM (Transvaginal Mesh). W J Gynecol Women’s Health. 2(2): 2019 WJGWH.MS.ID.000535.