Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery

Overview

Journal Korean J Urol

Specialty Urology

Date 2012 Jan 5

PMID 22216395

Citations 12

Authors

Dae-Jin Jo

Young-Suk Lee

Tae-Hee Oh

Dong-Su Ryu

Kyung-Won Kwak

Affiliations

Soon will be listed here.

Abstract

Purpose: To present outcomes of transurethral removal (TUR) of intravesical or intraurethral mesh after midurethral slings.

Materials And Methods: This was a retrospective chart review of 23 consecutive women: 20 with intravesical mesh and 3 with intraurethral mesh.

Results: To remove the mesh, transurethral resection with an electrode loop (TUR-E) was used in 16 women and transurethral resection with a holmium laser (TUR-H) was used in 7. The median follow-up was 2.1 months. Twenty-six percent of the women (6/23) had a mesh remnant: 6.2% (1/16) of the women treated with TUR-E and 71.4% (5/7) of the women treated with TUR-H. Of the 5 women treated with TUR-H, 3 underwent concomitant transvaginal removal. On the follow-up cystoscopic exam, a mesh remnant was observed in 3 women (1 treated with TUR-E and 2 treated with TUR-H). Vesico-vaginal fistulas were found in 2 women during and after TUR-E, respectively. Stress urinary incontinence recurred in 1 woman.

Conclusions: TUR-E has a high success rate but carries a risk of bladder perforation. Complete resection using TUR-H depends on the location of the mesh and the range of motion of the instrument.

Citing Articles

Management of iatrogenic urethral foreign body after mid-urethral sling A literature review.

Bazinet A, Weis S, Madec F, Boillot B Can Urol Assoc J. 2023; 17(9):E269-E280.

PMID: 37458745 PMC: 10544405. DOI: 10.5489/cuaj.8293.

Conservative management of intravesical erosion of a synthetic mid-urethral sling for the treatment of stress urinary incontinence, based on patient preference: A case report.

OKane M, Araklitis G, Rantell A, Robinson D, Cardozo L Case Rep Womens Health. 2022; 33:e00383.

PMID: 35127457 PMC: 8810362. DOI: 10.1016/j.crwh.2022.e00383.

Endourological management of multiple large bladder calculi over eroded mesh in an adult with augmented bladder and catheterisable continent appendicovesicostomy.

Bitran J, Katz J, Bhat A, Shah H BMJ Case Rep. 2021; 14(3).

PMID: 33758052 PMC: 7993306. DOI: 10.1136/bcr-2020-241514.

Endoscopic holmium laser fragmentation and retrieval of migrated intravesical prolene mesh.

Dadhwal R, Kumar S, Dogra P, Panaiyadiyan S BMJ Case Rep. 2020; 13(12).

PMID: 33370975 PMC: 7757510. DOI: 10.1136/bcr-2020-236987.

Role of endoscopic management in synthetic sling/mesh erosion following previous incontinence surgery: a systematic review from European Association of Urologists Young Academic Urologists (YAU) and Uro-technology (ESUT) groups.

Karim S, Pietropaolo A, Skolarikos A, Aboumarzouk O, Kallidonis P, Tailly T Int Urogynecol J. 2019; 31(1):45-53.

PMID: 31468095 PMC: 6949195. DOI: 10.1007/s00192-019-04087-5.

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