Suprapubic-assisted Transurethral Excision of a Vaginal Mesh Eroded Into the Bladder

Urology Case Reports
L CormioG Carrieri

Abstract

A 56-year-old woman with irritative voiding symptoms and recurrent urinary infections was found to have erosion into the bladder of a tension-free vaginal tape placed 61 months before. To achieve radical excision, a 26Fr Amplatz sheath was placed suprapubically under endoscopic vision. A rigid nephroscope with grasping forceps was used to pull the eroded mesh out of the bladder wall while excising it transurethrally with a resectoscope. Postoperative course was uneventful; 12 months after surgery the patient remains asymptomatic. This novel technique provides an effective means of radically removing a mesh eroded into the bladder either transurethrally or suprapubically.

References

Apr 12, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Nina Kuuva, Carl Gustaf Nilsson
Jan 10, 2004·The Journal of Urology·Alexander TsivianA Ami Sidi
Jul 23, 2005·Journal of Minimally Invasive Gynecology·Ahmed Al-Badr, Khalid Fouda
Oct 10, 2009·Urology·Michael S IngberMihir M Desai
Mar 6, 2010·International Urogynecology Journal·Milou D BekkerHenk W Elzevier

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Citations

Nov 23, 2016·Urology·Philippe GrangeLinda Cardozo
Nov 28, 2020·Urologia·Ester IllianoElisabetta Costantini

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