Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery
Korean Journal of Urology
; : 829-834, 2011.
Article
em En
| WPRIM
| ID: wpr-187970
Biblioteca responsável:
WPRO
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.
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Índice:
WPRIM
Assunto principal:
Incontinência Urinária
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Bexiga Urinária
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Estudos Retrospectivos
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Seguimentos
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Amplitude de Movimento Articular
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Eletrodos
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Slings Suburetrais
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Lasers de Estado Sólido
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Fístula
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Female
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Humans
Idioma:
En
Revista:
Korean Journal of Urology
Ano de publicação:
2011
Tipo de documento:
Article