Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required
The tension-free vaginal tape (TVT) procedure is the most popular worldwide for treating stress urinary incontinence. Intravesical mesh erosion related to the use of the TVT sling is rare. We report a rare case of mesh erosion over the bladder dome, with stone formation developing 11 years after TVT...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2010
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/12371/ http://irep.iium.edu.my/12371/ http://irep.iium.edu.my/12371/ http://irep.iium.edu.my/12371/1/Repeated_endoscopic_excision_of_an_eroding_calcified_mesh_sling-continued_follow-up_is_required.pdf |
| Summary: | The tension-free vaginal tape (TVT) procedure is the most popular worldwide for treating stress urinary incontinence. Intravesical mesh erosion related to the use of the TVT sling is rare. We report a rare case of mesh erosion over the bladder dome, with stone formation developing 11 years after TVT surgery. The diagnosis was made by cystoscopic examination after a 5-month history of lower urinary tract symptoms. Cystoscopic cystolithotomy was performed. No obvious mesh material was seen except for a small filament that was excised cystoscopically. Repeat cystoscopic follow-up was performed a year later. A recurrent stone formation resulted from a nonvisible mesh filament. Repeat cystoscopic cystolithotomy was performed, and the patient refused further surgical intervention. In women with a history of undergoing the TVT procedure and who have persistent lower urinary tract symptoms, a cystoscopic examination is mandatory to avoid delay in diagnosis and underreporting of sling-related complications. Despite satisfactory cystoscopic management, long-term regular follow-up is still required. |
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