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...
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iium-123712012-03-15T07:24:24Z http://irep.iium.edu.my/12371/ Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required Tshia-Shu, Lo Nusee, Zalina RG Gynecology and obstetrics 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. Elsevier 2010-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/12371/1/Repeated_endoscopic_excision_of_an_eroding_calcified_mesh_sling-continued_follow-up_is_required.pdf Tshia-Shu, Lo and Nusee, Zalina (2010) Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required. Journal of Minimally Invasive Gynecology, 17 (3). pp. 383-385. ISSN 1553-4650 http://www.sciencedirect.com/science/article/pii/S1553465009013508 http://dx.doi.org/10.1016/j.jmig.2009.12.021 |
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RG Gynecology and obstetrics Tshia-Shu, Lo Nusee, Zalina Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
description |
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. |
format |
Article |
author |
Tshia-Shu, Lo Nusee, Zalina |
author_facet |
Tshia-Shu, Lo Nusee, Zalina |
author_sort |
Tshia-Shu, Lo |
title |
Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
title_short |
Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
title_full |
Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
title_fullStr |
Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
title_full_unstemmed |
Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
title_sort |
repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
publisher |
Elsevier |
publishDate |
2010 |
url |
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 |
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2023-09-18T20:21:35Z |
last_indexed |
2023-09-18T20:21:35Z |
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