Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery.
10.4111/kju.2011.52.12.829
- Author:
Dae Jin JO
1
;
Young Suk LEE
;
Tae Hee OH
;
Dong Su RYU
;
Kyung Won KWAK
Author Information
1. Department of Urology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. ysuro.lee@samsung.com
- Publication Type:Original Article
- Keywords:
Complications;
Management;
Suburethral slings
- MeSH:
Electrodes;
Female;
Fistula;
Follow-Up Studies;
Humans;
Lasers, Solid-State;
Range of Motion, Articular;
Retrospective Studies;
Suburethral Slings;
Urinary Bladder;
Urinary Incontinence
- From:Korean Journal of Urology
2011;52(12):829-834
- CountryRepublic of Korea
- Language:English
-
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.
