Transurethral Resection of Intravesical Mesh After Midurethral Sling Procedures

Oh, Tae Hee; Ryu, Dong Soo

doi:10.1089/end.2009.0098

Cited by 43 publications

(31 citation statements)

References 20 publications

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“…18 Finally, some successfully cases treated with TUR are reported. 9 TUR permits less invasive surgery, and a completely resection of the intravesical mesh and the infiltrated muscle around the mesh. The retained mesh in the mid-urethra permits the duration of continence after TUR.…”

Section: Discussionmentioning

confidence: 99%

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Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling

Gugliotta

Calagna

Granese

et al. 2014

UIJ

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An intravesical exposed mesh may result from an unrecognized bladder perforation or from bladder erosion after a mid-urethral sling procedure performed to treat a stress urinary incontinence. Introduction of trans-obturator tape and tension-free vaginal tape-obturator techniques have minimized, but not eliminated, the risk of bladder injury. The suggested management of the above complication is removal of the polypropylene mesh from the bladder. Herein, we describe a case of partial intravesically-exposed sling, first diagnosed by trans-labial ultrasound, confirmed by cystourethroscopy and successful treated with endoscopic transurethral resection.

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Section: Discussionmentioning

confidence: 99%

“…However, the suggested management of these complications is the removal of the polypropylene mesh from the bladder. 9 Herein, we describe a case of intravesicallyexposed sling first diagnosed by trans-labial ultrasound and then successful treated with endoscopic transurethral resection.…”

Section: Introductionmentioning

confidence: 99%

Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling

Gugliotta

Calagna

Granese

et al. 2014

UIJ

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“…In 6 patients, intravesical sling material was observed during antegrade cystoscopic examination performed through suprapubic route, and incrustations on the sling material were fragmented using holmium laser. Then the sling material However, Oh, and Ryu [12] evaluated 11 TVT, and 3 TOT patients who developed bladder wall erosion after the procedure. They detected complaints of dysuria (n=9), hematuria (n=7), urge incontinence (n=5), and pelvic pain (n=2).…”

Section: Discussionmentioning

confidence: 99%

Transvaginal repair of unrecognized bladder injury after transobturator tape surgery

Bayrak

Erbağcı

Şen

et al. 2013

Turkish Journal of Urology

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Currently, minimally invasive surgeries, which are often characterized by reliable and successful results, are preferred for the treatment of stress urinary incontinence. Although all of the currently used surgeries are minimally invasive, morbidities, including hemorrhage, voiding dysfunction, infection, pain, skin infection and erosion, and bladder injuries, are observed. We detected bladder injury in a 42-year-old female patient with complaints of burning and pain during urination who had previously undergone transobturator tape (TOT) surgery. Complete abdominal hysterectomy for a secondary myoma and a TOT procedure had been simultaneously performed 3 months prior to her presentation. Cystoscopy demonstrated a foreign body compatible with sling material in the bladder which was extracted transvaginally.

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“…Endoscopic approaches commonly use retrograde cystoscopic removal of the intravesical mesh and adherent calculi. 10,11 Because of the mesh location, however, the affected area is often poorly visualized and subsequently inadequately treated. Alternate methods have been described using suprapubically placed laparoscopic instruments.…”

Section: Discussionmentioning

confidence: 99%

Antegrade Endoscopic Removal of Retained Urethral Sling Mesh in the Bladder

Johnson

Ferguson

Klutke

2012

Journal of Endourology

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The midurethral sling has emerged as an effective, minimally invasive treatment for patients with stress urinary incontinence. Bladder penetration is a known complication that, if unrecognized, may result in retained intravesical mesh. This rare complication can cause patient discomfort as well as become a nidus for infection and bladder calculi. Because of the technique of sling passage, the site of retained sling material is often along the anterior bladder wall, making evaluation and treatment via traditional retrograde cystoscopy prohibitively difficult. We describe a novel and minimally invasive method to remove the sling material using antegrade access into the bladder in conjunction with holmium laser vaporization. In our series of six patients in whom retrograde cystoscopic treatment had failed, all were successfully treated with antegrade cystoscopy and reported improved urinary symptoms. This new technique provides a simple, minimally invasive, and effective method for removal of exposed sling mesh.

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Transurethral Resection of Intravesical Mesh After Midurethral Sling Procedures

Abstract: Urologists should suspect intravesical mesh erosion or stone formation in patients with persistent pain, hematuria, or bladder irritation symptoms after MUS procedures. The TUR was a useful treatment modality for patients with intravesical complications after MUS procedures.

Cited by 43 publications

References 20 publications

Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling

Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling

Transvaginal repair of unrecognized bladder injury after transobturator tape surgery

Antegrade Endoscopic Removal of Retained Urethral Sling Mesh in the Bladder

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