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

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

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 nephr...

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Bibliographic Details
Main Authors: L. Cormio, G. Liuzzi, P. Massenio, N. Ruocco, G. Di Fino, V. Mancini, O. Selvaggio, G. Carrieri
Format: Article
Language:English
Published: Elsevier 2015-05-01
Series:Urology Case Reports
Subjects:
Cystoscopy
Suprapubic
Vaginal mesh
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442015000406
Description
Summary: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.
ISSN:2214-4420

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