ArticleThe American journal of case reports2013
Novel endoscopic management of a late complication following TVT insertion for stress urinary incontinence.
Article in The American journal of case reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors at 1 institution in 1 country.
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Abstract
patientFemale, 57 FINAL DIAGNOSIS: Bladder erosion Symptoms: Haematuria • irritative bladder symptoms • recurrent UTI Medication: - Clinical Procedure: Endoscopic tape resection Specialty: Urology.
objectiveUnusual or unexpected effect of treatment.
backgroundSince 1995 over 1 million tension free vaginal slings have been utilized to treat stress incontinence. The 10 year success rates range from 84-93%. Complication rates are low by comparision. Bladder perforation occurring during the time of surgery and is managed effectively if diagnosed and treated intraoperatively. However bladder erosion occuring post-operatively predominantly occur within the first 2 years. The risk of erosion increases with body mass index and previous vaginal surgery. CASE REPORT: We report the case of a bladder erosion occurring 5 years following the original surgery. The symptoms included recurrent urinary tract infections, frequency and haematuria. A novel technique was employed using the transurethral approach to initially disintegrate the calculus and then using an endoshears to excise the mesh below the level of the epithelium. Continence was maintained postoperatively.
conclusionsThis approach provides a safe alternative to both the transvaginal and transabdominal approach to excising intravesical mesh.
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