ABSTRACT
We present the first reported case of clear cell carcinoma associated with a midurethral tape (MUT), the possible hypotheses and the management pitfalls we encountered. We report a 58-year-old woman who presented with symptoms of urinary tract infection and acute retention of urine associated with vaginal tape exposure 10 years after placement of an inside-out transobturator tape. She subsequently had a partial transobturator tape excision and a diagnostic cystoscopy, which revealed inflammatory changes within the urethra. Postoperatively, her symptoms persisted and the vaginal epithelium healed poorly. A biopsy of the friable tissue reported clear cell carcinoma. Imaging showed a locally invasive periurethral mass and bony and lymphatic metastases. This was treated with palliative radiation therapy. She was still receiving palliative care 5 months after the initial surgery.
Subject(s)
Adenocarcinoma, Clear Cell/etiology , Suburethral Slings/adverse effects , Vaginal Neoplasms/etiology , Female , Humans , Middle AgedABSTRACT
BACKGROUND: Uterine and cervical prolapse is a rare occurrence in pregnancy. It can be associated with minor cervical desiccation and ulceration to devastating maternal fatalities. The scope of complications includes urinary retention, preterm labor, premature delivery, fetal demise, maternal sepsis, and urinary retention. METHODS: We present a case of a lady, who developed uterine and cervical prolapse during pregnancy and the issues surrounding her antenatal and intrapartum management. RESULTS AND CONCLUSION: This case report highlights the effectiveness of a Gellhorn pessary for uterine prolapse in pregnancy.
