Evaluation of Endoscopic Laser Excision of Polypropylene Mesh/Sutures Following Anti-Incontinence Procedures

Davis, Niall F.; Smyth, Laura Dimmit; Giri, Subhasis; Flood, Hugh D.

doi:10.1016/j.juro.2012.07.040

Cited by 26 publications

(35 citation statements)

References 23 publications

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“…This was first reported in 2004 by Hodroff et al 10 It is another minimally invasive technique with rapid recovery but the reported success of complete mesh removal in some series is low and there seems to be a high recurrence rate (Table 1). Davis et al 12 reported on 12 patients which is the largest series. Four patients (33%) required a second endoscopic procedure for residual mesh removal and one required an open procedure.…”

Section: Discussionmentioning

confidence: 98%

“…3,4 Various surgical techniques have been reported for mesh removal. [3][4][5][6] The most widely reported is the transurethral approach either using electrocautery for division/resection of the tape 7,8 or Holmium Laser [9][10][11][12] . This approach although minimally invasive has a high rate of incomplete mesh removal and recurrence of mesh exposure and symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Eroded Tape: A Case of an Early Vesicoscopy Rather Than Laser Melting

Grange

Kouriefs

Georgiades

et al. 2017

Urology

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word count: 238Manuscript word count: 1907 Conflict of interest / Financial DisclosureDudley Robinson received funding from Astellas Pharma, Pfizer, Allergan, Ferring, and SEP. Phillipe Grange received funding for research, lecturing, and/or advice or consultancies from Johnson & Johnson and Prosurgics. Linda Cardozo received funding for research, lecturing, and/or advice or consultancies from Astellas Pharma, AMS, Pfizer, and Allergan. She is a member of Global Advisory Board for Solifenancin, co-chairman of the European overactive bladder forum, principal investigator for the SUNRISE study, and speaker at satellite symposia for Astellas Pharma. She is also a member of the Global Advisory Board for Fesoterodine and participant in a multicentre research study. The other authors report no relevant financial interests. Results:We here report 5 cases referred to our team with tape erosions that were treated with vesicoscopic excision of the material and primary closure of the urothelial defect. The foreign material was completely removed in all cases and there is no recurrence at a median follow-up of 30 months. Conclusion:Vesicoscopic excision of bladder eroded foreign material is feasible and efficient. We recommend this technique to be considered as primary approach to tapes eroding into the bladder.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Eroded Tape: A Case of an Early Vesicoscopy Rather Than Laser Melting

Grange

Kouriefs

Georgiades

et al. 2017

Urology

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“…6 Furthermore, this study 6 excluded patients whose slings were removed owing to pain and other indications, thus the actual incidence of sling removal owing to complications is probably even higher than that. Extrapolating from this estimate and the estimated number of slings implanted in the 6,9,10,41,44,[100][101][102][103][104][105][106][107][108][109][110][111][112][113][114] Use of imperfect research methodologies, a lack of long-term follow up and reporting bias have been suggested as causes of these differences. 10,45,115,116 Safety and risk:benefit considerations Safety of SMUS surgery refers to the probability of any adverse event, while risk describes the range and probability of specific adverse events.…”

Section: Smus Complicationsmentioning

confidence: 99%

Safety considerations for synthetic sling surgery

et al. 2015

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Implantation of a synthetic midurethral sling (SMUS) is the most commonly performed anti-incontinence operation in women worldwide. The effectiveness of the SMUS is comparable to that of the historical gold standards--autologous fascial slings and the Burch colposuspension. Much controversy, however, has evolved regarding the safety of this type of sling. Overall, the quality of the studies with respect to assessing risks of SMUS-associated complications is currently poor. The most common risks in patients with SMUS include urethral obstruction requiring surgery (2.3% of patients with SMUS), vaginal, bladder and/or urethral erosion requiring surgery (1.8%) and refractory chronic pain (4.1%); these data likely represent the minimum risks. In addition, the failure rate of SMUS implantation surgery is probably at least 5% in patients with stress urinary incontinence (SUI). Furthermore, at least one-third of patients undergoing sling excision surgery develop recurrent SUI. Considering the additional risks of refractory overactive bladder, fistulas and bowel perforations, among others, the overall risk of a negative outcome after SMUS implantation surgery is ≥15%.

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“…Rafique described various reported techniques and cystoscopic modification of intravesical stone retrival [1]. Though use of Holmium: YAG laser to fragment and facilitate transurethral removal of large intravesical foreign bodies have been described [11,12], but with fragmentation, there is always a possibility of incomplete removal and subsequent recurrence of stone.…”

Section: Typementioning

confidence: 99%