Development of vesical calculi following tension-free vaginal tape procedure

İrer, Bora; Aslan, Güven; Çimen, Sertaç; Bozkurt, Ozan; Çelebi, İlhan

doi:10.1007/s00192-004-1241-x

Cited by 35 publications

(28 citation statements)

References 8 publications

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“…There is a large volume of urology literature that suggests these symptoms are actually typical for bladder stones. The literature further supports the fact that these symptoms are primarily related to bladder irritation and not urine retention [2][3][4]. As a matter of fact, large bladder stones are very rarely a cause of urine retention [5].…”

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confidence: 66%

Comments on Badejoko et al.: Overflow urinary incontinence due to bladder stones

Mahdy

2014

Int Urogynecol J

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confidence: 66%

Comments on Badejoko et al.: Overflow urinary incontinence due to bladder stones

Mahdy

2014

Int Urogynecol J

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“…Mesh exposure in the bladder or urethra is an uncommon but troublesome complication of midurethral slings. Several authors have described their approaches to this difficult problem, with no consensus on the best approach [11][12][13][14][15][16]. Frenkl et al proposed a treatment algorithm after reviewing 22 cases of iatrogenic foreign bodies in the bladder and urethra following pelvic floor surgery [17].…”

Section: Discussionmentioning

confidence: 99%

1346 Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery

Ryu¹,

Lee²,

Oh³

et al. 2012

Journal of Urology

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Purpose: To present outcomes of transurethral removal (TUR) of intravesical or intraurethral mesh after midurethral slings. Materials and Methods: 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.

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“…Several authors have described their approach to this difficult problem (Table 2) [7,11,[18][19][20][21][22] and the approach remains guided by the locally available expertise. For intravesical tape and attendant bladder stone, an open cystotomy may be performed [14,21,[23][24][25].…”

Section: Discussionmentioning

confidence: 99%

“…Others have reported the success of a less invasive approach with bladder mesh removed endoscopically [19], or with the assistance of laparoscopic graspers or scissors passed via a 5-mm suprapubic port to tension [18] Intravesical Open cystotomy and excision of tape and bladder stone Deng et al . [7] Intravesical Partial cystectomy for a long length of embedded tape Irer et al .…”

Section: Discussionmentioning

confidence: 99%

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Unrecognized bladder perforation with mid‐urethral slings

2010

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Study Type – Therapy (case series) Level of Evidence 4OBJECTIVETo present a series of women with late presentation of mid‐urethral synthetic slings perforating the bladder and their management, this is rare but can lead to significant morbidity with medico‐legal consequences.PATIENTS AND METHODSWe retrospectively reviewed the case notes of nine women with urinary symptoms referred to our unit for further investigation after synthetic mid‐urethral sling placement.RESULTSThe women presented between 8 weeks and 18 months after initial sling placement. Eight patients underwent a tension‐free vaginal tape insertion via the retropubic route and one patient had an ‘outside‐in’ obturator sling with the I‐Stop device (CL Medical, Lyon, France). The frequencies of presenting symptoms were: dysuria in six; recurrent urinary tract infection in four; frequency and urgency in four and pelvic pain in two. Seven of the nine women developed bladder calculi on the exposed sling material, all of which were visible on plain X‐ray. In six women, perforations were present at more than one site; in three urethral perforation had occurred together with an anterolateral bladder injury and in the remaining three there was bilateral bladder perforation. Initial management included cystoscopy and cystolithopaxy followed by transurethral resection (TUR) of the visible prolene mesh into the detrusor muscle. One woman required two TURs to clear all the mesh. Two women required further open surgery to remove all of the remaining mesh, both for ongoing pelvic pain that resolved after revision surgery. All the women had resolution of symptoms but all had recurrent stress urinary incontinence after tape division/excision. We used a novel technique to remove intraurethral mesh using a nasal speculum urethrally and excising the tape under direct vision, where resection proved impossible due to poor endoscopic views, with significant risk of sphincter injury.CONCLUSIONSThe possibility of unrecognized tape perforation or erosion must be considered in women with persistent urinary symptoms, infection or pain after any form of mid‐urethral sling procedure. Bladder stones almost invariably develop if the exposed mesh has been present for >3 months. Most patients can be managed with endoscopic resection to remove all intravesical tape. Cystoscopy should remain a mandatory procedure together with any form of mid‐urethral sling placement but does not prevent unrecognized perforations in inexperienced hands.

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Development of vesical calculi following tension-free vaginal tape procedure

Cited by 35 publications

References 8 publications

Comments on Badejoko et al.: Overflow urinary incontinence due to bladder stones

Comments on Badejoko et al.: Overflow urinary incontinence due to bladder stones

1346 Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery

Unrecognized bladder perforation with mid‐urethral slings

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