[Chronic pelvic pain as a complication of cystourethropexy with tension free vaginal tape. Case report]. / Dolor pélvico crónico como complicación de la cistouretropexia con malla libre de tensión. Presentación de un caso.

OBJECTIVE: To report an interesting case of a rare complication of cystourethropexy, as well as its precise diagnosis and results after treatment. METHODS: We reviewed the medical records of the patients as well as their operative report and she underwent outpatient follow-up for the following six months. We descriptively report the findings. RESULTS: It is the case of a female patient presenting a foreign body rejection of a suburethral tension free vaginal tape (TVT). She complained of severe pain in the immediate postoperative period, which led to retrieval of the tape in spite of a good continence result. CONCLUSIONS: Foreign body rejection is a rare complication of vaginal tapes; it is rarely taken into account but it should be present in any exclusion diagnosis because the possibility of tape retrieval is not always associated with recurrence of the incontinence.

Dolor pélvico crónico como complicación de la cistouretropexia con malla libre de tensión. Presentación de un caso / Chronic pelvic pain as a complication of cystourethropexy with tension free vaginal tape. Case report

OBJETIVO: presentar en la comunidad urológica un caso de interés de una complicación poco común de un procedimiento ya muy extendido como es la cistouretropexia, así como su diagnóstico preciso y resultados al tratamiento. MÉTODO: Se revisó la historia clínica de la paciente así como el protocolo quirúrgico y se le dio seguimiento en la consulta externa por los 6 meses siguientes. Se presentan los hallazgos de manera descriptiva. RESULTADOS: Se trata de una paciente que presenta un rechazo a tejido foráneo por una malla libre de tensión suburetral, quien cursa con dolor intenso en el postoperatorio mediato que lleva al retiro de la misma pese a que el resultado de continencia se había logrado. CONCLUSIONES: El recazo a tejido foráneo es una complicación rara de las malas vaginales por lo cual es poco tomada en cuenta, hay que tener presente que es un diagnóstico de exclusión y que la posibilidad de retiro de la misma no en todos los casos conlleva reaparición de la incontinencia

OBJECTIVE: To report an interesting case of a rare complication of cystourethropexy, as well as its precise diagnosis and results after treatment. METHODS: We reviewed the medical records of the patients as well as their operative report and she underwent outpatient follow-up for the following six months. We descriptively report the findings. RESULTS: It is the case of a female patient presenting a foreign body rejection of a suburethral tension free vaginal tape (TVT). She complained of severe pain in the immediate postoperative period, which led to retrieval of the tape in spite of a good continence result. CONCLUSIONS: Foreign body rejection is a rare complication of vaginal tapes; it is rarely taken into account but it should be present in any exclusion diagnosis because the possibility of tape retrieval is not always associated with recurrence of the incontinence