Surgical management of urinary tract mesh/sling exposure after pelvic floor recon-struction:a single center experience
10.3969/j.issn.1009-8291.2024.08.006
- VernacularTitle:盆底重建术后泌尿道网片/吊带暴露的手术处理——单中心经验
- Author:
Shuai XU
1
;
Jie ZHANG
;
Chi ZHANG
;
Liao PENG
;
Deyi LUO
Author Information
1. 四川大学华西医院泌尿外科,四川成都 610041
- Keywords:
pelvic organ prolapse;
stress urinary incontinence;
pelvic floor reconstruction;
mesh exposure;
sling exposure;
surgical treatment;
transvaginal mesh implantation;
mid-urethral sling surgery
- From:
Journal of Modern Urology
2024;29(8):691-695
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate surgical methods and long-term treatment outcomes of urinary mesh/sling urinary tract exposure after pelvic floor reconstruction.Methods A retrospective analysis was performed for 9 patients admitted to the Department of Urology,West China Hospital of Sichuan University during Nov.2011 and Sep.2020 due to urinary tract exposure to mesh or sling after pelvic floor reconstruction.Results The median age of the 9 patients was 53(39-73)years and the median body mass index was 23.0(19.5-27.3).Six patients underwent transvaginal mesh implantation for pelvic organ prolapse,and the remaining 3 patients underwent mid-urethral sling(MUS)surgery due to urinary incontinence.Of the 6 patients who experienced mesh exposure after transvaginal mesh implantation,3 underwent transvaginal mesh removal,and the remaining 3 cystoscopic holmium laser ablation.Among patients who experienced mesh exposure after mid-urethral sling,2 patients underwent transurethral removal and 1 cystoscopic holmium laser ablation.The median follow-up was 69(16-121)months.At the last follow-up,none of the patients had mesh/sling exposure.Conclusion Both transvaginal and transurethral mesh/sling removal are effective surgical methods for the treatment of urinary tract mesh/sling exposure after pelvic floor reconstruction.
