Ureteral Obstruction Secondary to Vaginal Implant

Introduction: Ureteral obstruction following vaginal mesh placement is a rare complication.Hypothesis: We propose a mechanism of traction of the bladder neck as a cause for ureteral kinking and obstruction.Methods: In this report we describe two surgical cases using vaginal mesh implant which presented with ureteral obstruction two days following the procedure.Results: The patients were treated using temporary ureteral stents without removal of the implant.Conclusion: Controlled tension of the implant during the procedure and routine diagnostic cystoscopy can prevent the complication.Brief summary: Ureteral obstruction following vaginal implant treated with ureteral stents. A mechanism of traction of the bladder neck as a cause for ureteral obstruction is proposed.