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 |
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Elsevier
2010
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| Online Access: | http://irep.iium.edu.my/12371/1/Repeated_endoscopic_excision_of_an_eroding_calcified_mesh_sling-continued_follow-up_is_required.pdf |
| _version_ | 1796875956125696000 |
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| author | Tshia-Shu, Lo Nusee, Zalina |
| author_facet | Tshia-Shu, Lo Nusee, Zalina |
| author_sort | Tshia-Shu, Lo |
| collection | IIUM |
| 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. |
| first_indexed | 2024-03-05T22:45:55Z |
| format | Article |
| id | oai:generic.eprints.org:12371 |
| institution | International Islamic University Malaysia |
| language | English |
| last_indexed | 2024-03-05T22:45:55Z |
| publishDate | 2010 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oai:generic.eprints.org: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 |
| spellingShingle | RG Gynecology and obstetrics Tshia-Shu, Lo Nusee, Zalina Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required |
| title | 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_short | 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 |
| topic | RG Gynecology and obstetrics |
| url | http://irep.iium.edu.my/12371/1/Repeated_endoscopic_excision_of_an_eroding_calcified_mesh_sling-continued_follow-up_is_required.pdf |
| work_keys_str_mv | AT tshiashulo repeatedendoscopicexcisionofanerodingcalcifiedmeshslingcontinuedfollowupisrequired AT nuseezalina repeatedendoscopicexcisionofanerodingcalcifiedmeshslingcontinuedfollowupisrequired |