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. 2011 Dec;52(12):829-34.
doi: 10.4111/kju.2011.52.12.829. Epub 2011 Dec 20.

Outcomes of transurethral removal of intravesical or intraurethral mesh following midurethral sling surgery

Dae-Jin Jo  1 , Young-Suk Lee, Tae-Hee Oh, Dong-Su Ryu, Kyung-Won Kwak
Affiliations

Outcomes of transurethral removal of intravesical or intraurethral mesh following midurethral sling surgery

Dae-Jin Jo et al. Korean J Urol. 2011 Dec.

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.

Keywords: Complications; Management; Suburethral slings.

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Conflict of interest statement

The authors have nothing to disclose.

Figures

FIG. 1
FIG. 1
Pictures of the transurethral resection with an electrode loop for intravesical mesh. (A) Preoperative finding: stone encrustation. (B) Postoperative finding: no mesh remained and perivesical fat was seen.
FIG. 2
FIG. 2
Pictures of the transurethral resection with a holmium laser for intravesical mesh. (A) Preoperative finding: stone encrustation. (B) Postoperative finding: no mesh remained.
FIG. 3
FIG. 3
Pictures of the combined transvaginal and transurethral resection with a holmium laser for intraurethral mesh. (A) Preoperative finding: stone encrustation. (B) Postoperative finding: no mesh remained after transvaginal removal.
See this image and copyright information in PMC

References

    1. Lee YS, Lee HN, Lee KS. The evolution of surgical treatment for female stress urinary incontinence: era of mid-urethral slings. Korean J Urol. 2010;51:223–232. - PMC - PubMed
    1. Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Bourque JL, et al. Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int. 2004;94:110–113. - PubMed
    1. Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V, et al. Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol. 2008;53:288–308. - PubMed
    1. Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F, et al. Tension-Free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(Suppl 2):S24–S27. - PubMed
    1. McLennan MT, Melick CF. Bladder perforation during tension-free vaginal tape procedures: analysis of learning curve and risk factors. Obstet Gynecol. 2005;106:1000–1004. - PubMed