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
Published inUrology case reports Vol. 3; no. 3; pp. 84 - 85
Main Authors Cormio, L., Liuzzi, G., Massenio, P., Ruocco, N., Di Fino, G., Mancini, V., Selvaggio, O., Carrieri, G.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2015
Elsevier
Subjects
Cystoscopy
Female Urology
Suprapubic
Vaginal mesh
Cystoscopy
Suprapubic
Vaginal mesh
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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
2214-4420
DOI:10.1016/j.eucr.2015.03.004