Delayed distal urethral disruption after transobturator tape placement: diagnostic pitfalls and surgical repair - a video case report

The authors aim to highlight the rare complication of distal urethral disruption following transobturator tape (TOT) placement, which can mimic urethrovaginal fistula but preserves urethral integrity. They present a case of a 70-year-old woman with recurrent urinary leakage and describe the diagnostic challenges and surgical repair techniques used to address the condition. The findings suggest that chronic factors, such as smoking and cough, may contribute to this complication, emphasizing the need for accurate diagnosis and management.