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Case Reports
. 2016 Jul;27(7):1113-5.
doi: 10.1007/s00192-015-2934-z. Epub 2016 Jan 6.

Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion

H Joaquín Alvarez Garzon  1 , Baptiste Jacquemet  2 , Nicolas Mottet  1 , François Kleinclauss  2 , Didier Riethmuller  1 , Rajeev Ramanah  3
Affiliations
Case Reports

Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion

H Joaquín Alvarez Garzon et al. Int Urogynecol J. 2016 Jul.

Abstract

Introduction and hypothesis: Synthetic meshes have proven to increase efficacy of pelvic organ prolapse (POP) repair, but associated complications are not rare. Bladder mesh extrusion is one of the most serious adverse events following POP surgery with mesh. The aim of this video was to describe endoscopic and vaginal approaches for treating a bladder-mesh extrusion.

Methods: A 52-year-old female patient with a history of vaginal POP surgery with mesh was referred for severe pelvic and perineal pain, dyspareunia, and dysuria. She was found to have a bladder calculus on a mesh extrusion. The calculus was removed by endoscopic lithotripsy before vaginal mesh excision was performed.

Conclusions: With the use of synthetic vaginal mesh, the incidence of bladder-mesh extrusion could increase. This didactic video will be helpful to surgeons required to manage such cases using a minimally invasive treatment.

Keywords: Bladder extrusion; Intravesical mesh; Mesh complication; Pelvic organ prolapse; Pneumatic lithotripsy; Urinary bladder calculi.

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References

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