Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling

An intravesical exposed mesh may result from an unrecognized bladder perforation or from bladder erosion after a mid-urethral sling procedure performed to treat a stress urinary incontinence. Introduction of trans-obturator tape and tension-free vaginal tape-obturator techniques have minimized, but...

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Main Authors: Giorgio Gugliotta, Gloria Calagna, Roberta Granese, Giorgio Adile, Antonio Martorana, Biagio Adile
Format: Article
Language:English
Published: PAGEPress Publications 2014-10-01
Series:Urogynaecologia International Journal
Subjects:
Online Access:http://www.urogynaecologia.org/index.php/uij/article/view/161
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author Giorgio Gugliotta
Gloria Calagna
Roberta Granese
Giorgio Adile
Antonio Martorana
Biagio Adile
author_facet Giorgio Gugliotta
Gloria Calagna
Roberta Granese
Giorgio Adile
Antonio Martorana
Biagio Adile
author_sort Giorgio Gugliotta
collection DOAJ
description An intravesical exposed mesh may result from an unrecognized bladder perforation or from bladder erosion after a mid-urethral sling procedure performed to treat a stress urinary incontinence. Introduction of trans-obturator tape and tension-free vaginal tape-obturator techniques have minimized, but not eliminated, the risk of bladder injury. The suggested management of the above complication is removal of the polypropylene mesh from the bladder. Herein, we describe a case of partial intravesically-exposed sling, first diagnosed by trans-labial ultrasound, confirmed by cystourethroscopy and successful treated with endoscopic transurethral resection.
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spelling doaj.art-ea1da4d56c234440afe3a175b166524d2022-12-22T01:34:38ZengPAGEPress PublicationsUrogynaecologia International Journal1121-30862038-83142014-10-0128110.4081/uij.2014.16195Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed slingGiorgio Gugliotta0Gloria Calagna1Roberta Granese2Giorgio Adile3Antonio Martorana4Biagio Adile5Urogynecology Unit, Villa Sofia-Cervello Hospital, PalermoDepartment of Obstetrics and Gynecology, University Hospital P. Giaccone, PalermoDepartment of Obstetrics and Gynecology, University Hospital G. Martino, MessinaDepartment of Obstetrics and Gynecology, University Hospital P. Giaccone, PalermoDepartment of Obstetrics and Gynecology, University Hospital P. Giaccone, PalermoUrogynecology Unit, Villa Sofia-Cervello Hospital, PalermoAn intravesical exposed mesh may result from an unrecognized bladder perforation or from bladder erosion after a mid-urethral sling procedure performed to treat a stress urinary incontinence. Introduction of trans-obturator tape and tension-free vaginal tape-obturator techniques have minimized, but not eliminated, the risk of bladder injury. The suggested management of the above complication is removal of the polypropylene mesh from the bladder. Herein, we describe a case of partial intravesically-exposed sling, first diagnosed by trans-labial ultrasound, confirmed by cystourethroscopy and successful treated with endoscopic transurethral resection.http://www.urogynaecologia.org/index.php/uij/article/view/161slingcysto-urethroscopybladder injurycomplicationstress urinary incontinence.
spellingShingle Giorgio Gugliotta
Gloria Calagna
Roberta Granese
Giorgio Adile
Antonio Martorana
Biagio Adile
Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
Urogynaecologia International Journal
sling
cysto-urethroscopy
bladder injury
complication
stress urinary incontinence.
title Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
title_full Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
title_fullStr Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
title_full_unstemmed Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
title_short Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling
title_sort trans obturator tape technique and bladder injury cysto urethroscopic management of intravesically exposed sling
topic sling
cysto-urethroscopy
bladder injury
complication
stress urinary incontinence.
url http://www.urogynaecologia.org/index.php/uij/article/view/161
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