Repeated endoscopic excision of an eroding calcified mesh sling-continued follow-up is required

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

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Abstract

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.

Item Type:	Article (Journal)
Additional Information:	5527/12371
Uncontrolled Keywords:	Complication; Mesh; TVT
Subjects:	R Medicine > RG Gynecology and obstetrics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Obstetric & Gynecology
Depositing User:	Nor Hazirah Mat Saad
Date Deposited:	15 Mar 2012 15:23
Last Modified:	15 Mar 2012 15:24
URI:	http://irep.iium.edu.my/id/eprint/12371

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