ArticleInternational urogynecology journal2013
Surgical management of lower urinary mesh perforation after mid-urethral polypropylene mesh sling: mesh excision, urinary tract reconstruction and concomitant pubovaginal sling with autologous rectus fascia.
Article in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Assessing the use of the IUGA/ICS classification system for prosthesis/graft complications in publications from 2011 to 2015.International urogynecology journal · 2016Pooled it
- Presentation and management of urethral erosion caused by mid-urethral sling.Irish journal of medical science · 2025Article
- Management of patients with mesh perforation into viscus following pelvic mesh surgery.World journal of urology · 2025Observational
- Management of iatrogenic urethral foreign body after mid-urethral sling A literature review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Review
- Small intestinal submucosa xenograft to manage lower urinary tract prostheses perforation: a new path?International urogynecology journal · 2022Article
- Autologous Fascial Slings for Surgical Management of Stress Urinary Incontinence: A Come Back.Journal of obstetrics and gynaecology of India · 2021Review
- Joint position statement on the management of mesh-related complications for the FPMRS specialist.International urogynecology journal · 2020Article
- Robot-assisted laparoscopic sacrocolpopexy with autologous fascia lata: technique and initial outcomes.International urogynecology journal · 2019Article
- Road to recovery after transvaginal surgery for urethral mesh perforation: evaluation of outcomes and subsequent procedures.International urogynecology journal · 2018Article
- Mesh Perforation into a Viscus in the Setting of Pelvic Floor Surgery-Presentation and Management.Current urology reports · 2016Review
- Autologous pubovaginal slings: back to the future or a lost art?Research and reports in urology · 2016Review
- Safety considerations for synthetic sling surgery.Nature reviews. Urology · 2015Review
- Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature.BioMed research international · 2015Review
- Repair of complete urethral disruption due to synthetic sling complication.International urogynecology journal · 2014Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisWe present our management of lower urinary tract (LUT) mesh perforation after mid-urethral polypropylene mesh sling using a novel combination of surgical techniques including total or near total mesh excision, urinary tract reconstruction, and concomitant pubovaginal sling with autologous rectus fascia in a single operation.
methodsWe retrospectively reviewed the medical records of 189 patients undergoing transvaginal removal of polypropylene mesh from the lower urinary tract or vagina. The focus of this study is 21 patients with LUT mesh perforation after mid-urethral polypropylene mesh sling. We excluded patients with LUT mesh perforation from prolapse kits (n = 4) or sutures (n = 11), or mesh that was removed because of isolated vaginal wall exposure without concomitant LUT perforation (n = 164).
resultsTwenty-one patients underwent surgical removal of mesh through a transvaginal approach or combined transvaginal/abdominal approaches. The location of the perforation was the urethra in 14 and the bladder in 7. The mean follow-up was 22 months. There were no major intraoperative complications. All patients had complete resolution of the mesh complication and the primary symptom. Of the patients with urethral perforation, continence was achieved in 10 out of 14 (71.5 %). Of the patients with bladder perforation, continence was achieved in all 7.
conclusionsTotal or near total removal of lower urinary tract (LUT) mesh perforation after mid-urethral polypropylene mesh sling can completely resolve LUT mesh perforation in a single operation. A concomitant pubovaginal sling can be safely performed in efforts to treat existing SUI or avoid future surgery for SUI.
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