Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery
Korean Journal of Urology
;
: 829-834, 2011.
Article
in English
| WPRIM
| ID: wpr-187970
ABSTRACT
PURPOSE:
To present outcomes of transurethral removal (TUR) of intravesical or intraurethral mesh after midurethral slings. MATERIALS ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urinary Incontinence
/
Urinary Bladder
/
Retrospective Studies
/
Follow-Up Studies
/
Range of Motion, Articular
/
Electrodes
/
Suburethral Slings
/
Lasers, Solid-State
/
Fistula
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Urology
Year:
2011
Type:
Article
Similar
MEDLINE
...
LILACS
LIS