Infected Multilocular Urethral Diverticulum Complicating Midurethral Transobturator Tape Procedure: A Case Report
Bibliographic record
Abstract
The tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures are now the most commonly performed operations for stress urinary incontinence (SUI) in the UK. The majority of reports in the literature relate to the success of TVT in treating SUI. However, there are little data regarding the associated complications. The occurrence of urethral diverticulum following a TVT is rare. The condition frequently presents with non-specific and non-classical symptoms and this leads to incorrect and delayed diagnosis. Reviewing the English literature, we could find three cases of urethral diverticula after a TVT procedure but we could not find any case of urethral diverticulum post TOT insertion. We report a case of a multilocular infected urethral diverticulum 5 years following TOT operation and we describe the management. J Clin Gynecol Obstet. 2014;3(4):138-140 doi: http://dx.doi.org/10.14740/jcgo260w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.008 | 0.006 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".