OBJECTIVE: The objective of this study was to determine the efficacy as well as the complications associated with transurethral removal (TUR) of intravesical mesh after suburethral sling, transobturator tape-TOT (Monarc™) or "minisling" (MiniArc®), in the treatment of female urinary stress incontinence (USI).
MATERIAL AND METHODS: retrospective and consecutive study on 9 women with bladder perforation after midurethral slings (3 Monarc™ and 6 MiniArc®) placement for urinary stress incontinence. To remove the mesh, transurethral resection with an electrode loop (TUR-E) was used. The technique included: location and total removal of mesh with bipolar resectoscope up to healthy tissue.
RESULTS: The median age was 61 years (49-70 years). The median time between midurethral sling placement and onset the sympltoms was 13 months (1-79 months). and between sling placement and mesh removal was 16 months (1-91 months). Five women (55.5%) developed bladder stones. Mean operating time was 29.4±10.4minutes and mean length of hospital stay was 2.6±0.5 days. The median follow-up after mesh removal was 38 months (range, 14 to 109 months). No complications were found.
CONCLUSIONS: The use of transurethral resection of intravesical mesh after suburethral slings is easy and the results obtained by our surgical team are excellent.
Written by:
Castroviejo-Royo F, Rodríguez-Toves LA, Martínez-Sagarra-Oceja JM, Conde-Redondo C, Mainez-Rodríguez JA. Are you the author?
Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
Reference: Actas Urol Esp. 2014 Nov 4. pii: S0210-4806(14)00367-2.
doi: 10.1016/j.acuro.2014.09.006
PubMed Abstract
PMID: 25457565
Article in English, Spanish.