Chronic pelvic pain and SUI resolution after laparoscopic TVT removal and burch/paravaginal repair
by Robert D Moore, John R Miklos, Orawee Chinthakanan

Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology

by Nutan Jain
About Video

This video highlights the surgical treatment of pain complications associated with tension-free vaginal tape (TVT) type retropubic slings and laparoscopic approach to complete TVT removal. This video demonstrate simultaneous laparoscopic Burch and paravaginal repair for stress urinary incontinence (SUI) and a cystocele. A patient presented with dyspareunia, vaginal, lower abdominal and pubic pain since the placement of her TVT. Physical examination confirms paraurethral pain, stress urine incontinence and a cystocele. The patient requested sling removal due to the severity of the pain and its affected on her quality of life. A transvaginal dissection coupled with a laparoscopic approach was utilized to completely excite the sling from the vagina to the anterior abdominal wall. A simultaneous Burch and paravaginal repair were performed for her SUI and cystocele. Postoperatively, she had complete resolutions of her pain, SUI and cystocele.

Report this Video

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved