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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Main Authors: Tshia-Shu, Lo, Nusee, Zalina
Format: Article
Language:English
Published: Elsevier 2010
Subjects:
Online Access:http://irep.iium.edu.my/12371/
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spelling 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
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RG Gynecology and obstetrics
spellingShingle 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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