Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery
Korean Journal of Urology
; : 829-834, 2011.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-187970
Biblioteca responsable:
WPRO
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.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Incontinencia Urinaria
/
Vejiga Urinaria
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Rango del Movimiento Articular
/
Electrodos
/
Cabestrillo Suburetral
/
Láseres de Estado Sólido
/
Fístula
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Urology
Año:
2011
Tipo del documento:
Artículo