Ureteral Stenosis after Uterine Suspension Using TVM (Transvaginal Mesh)
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.