Bladder Perforation Presenting as Vulvar Edema after the Tension-Free Vaginal Tape Procedure: A Case Report

BACKGROUND: Bladder perforation during the tension-free vaginal tape (TVT) procedure is a common complication. CASE: Vulvar edema was noted 4 hours after application of TVT, and cystoscopy revealed bladder perforation. The patient had a history of a previous vaginal hysterectomy with anterior colporrhaphy. CONCLUSION: To our knowledge, this is the first case report of vulvar edema following TVT. Bladder filling to 250 mL, 70° cystoscopy, good skills in cystoscopy and familiarity with retropubic anatomy are key issues for the TVT procedure. A cystoscopic examination before the TVT procedure should be considered for patients with previous pelvic surgery.