SynthesisInternational urogynecology journal2020
Role of endoscopic management in synthetic sling/mesh erosion following previous incontinence surgery: a systematic review from European Association of Urologists Young Academic Urologists (YAU) and Uro-technology (ESUT) groups.
Synthesis in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 32 citations in OpenAlex.
- Robotic-Assisted Excision of Intravesical Burch Urethropexy Staples and Mesh.International urogynecology journal · 2025Article
- Presentation and management of urethral erosion caused by mid-urethral sling.Irish journal of medical science · 2025Article
- Letter in Reply Re: Robotic-Assisted Intravesical Mesh Excision following Retropubic Midurethral Sling.International urogynecology journal · 2024Article
- Letter to the Editor: Robotic-assisted Intravesical Mesh Excision following Retropubic Midurethral Sling.International urogynecology journal · 2024Article
- Robotic-assisted intravesical mesh excision following retropubic midurethral sling.International urogynecology journal · 2024Article
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Review
- Laser excision of urethral mesh erosion: a 10-year experience.World journal of urology · 2024Article
- Cystoscopic removal of transvaginal mesh: Long-term outcomes.BJUI compass · 2023Article
- 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
- Urethral synthetic mesh erosion with formation of a large bladder and urethral stone: A case report.Case reports in women's health · 2023Article
- Management of mesh complications after prolapse and incontinence surgery.Archives of gynecology and obstetrics · 2022Article
- Urethral Pathology in Women.Current urology reports · 2022Review
- Small intestinal submucosa xenograft to manage lower urinary tract prostheses perforation: a new path?International urogynecology journal · 2022Article
- Conservative management of intravesical erosion of a synthetic mid-urethral sling for the treatment of stress urinary incontinence, based on patient preference: A case report.Case reports in women's health · 2022Article
- The risk of stress incontinence after urethral surgery in women.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- A novel technique for complete laparoscopic excision of a transobturator sling with lower urinary tract mesh erosion.International urogynecology journal · 2020Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisForeign body (FB) erosion is now recognized as a major long-term complication following previous incontinence surgery. The aim of our systematic review was to ascertain the outcomes of endoscopic management in synthetic sling/mesh erosion following previous gynaecological surgery.
methodsA systematic review in line with PRISMA and Cochrane guidelines was conducted for all English language articles between 1996 and December 2018 for all articles reporting on endoscopic surgical management for eroded FB following previous sling/mesh procedure for incontinence.
resultsOur search produced 931 articles of which 20 articles (198 patients) were included in our review; 149 (75%) had tension-free vaginal tapes (TVT) or tension-free obturator tapes (TOT) as their initial procedure. The site of mesh erosion was the bladder in 134 patients (68%) of which 12 (6%) were in the bladder neck. Urethral mesh erosion was seen in 63 patients (32%) across all studies. The treatment of eroded mesh was by laser and endoscopic excision using an electrode loop or laparoscopic scissors in 108 (55%) and 90 (45%) patients respectively. The initial/final success rate with laser and endoscopic excision was 67%/92% and 80%/98% respectively. The overall complication rates were 24% and 28% in laser and endoscopic groups respectively of which 21% in each group were stress urinary incontinence.
conclusionsEndoscopic management of FB erosion is an effective minimally invasive technique with good outcomes and minimal morbidity. Management with the use of holmium laser is gaining momentum and could be attempted before open surgical removal. There is a need for comparative data between open surgical excision and endoscopic excision to help better describe the patient's most likely to benefit from the endoscopic technique.
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