Open AccessIntravesical midurethral sling mesh erosion secondary to transvaginal mesh reconstructive surgery
Author(s) -
Sukanda Bin Jaili,
TsiaShu Lo,
Tomy Wijaya,
PeiYing Wu
Publication year - 2015
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2015.04.004
Subject(s) - medicine , sling (weapon) , surgery , cystoscopy , reconstructive surgery , dysuria , surgical mesh , complication , urinary incontinence , urinary system , anatomy , hernia
ObjectiveWe sought to evaluate the feasibility and the outcomes of correcting the intravesical mesh erosion after secondary mesh augmented pelvic reconstructive surgery pervaginally.MethodsWe evaluated a case of mesh erosion following midurethral sling that occurred 4 years after secondary mesh surgery. Prior to second surgery, ultrasound and cystoscopy examination were performed to exclude mesh complication. Serial examinations during follow-up after the operation were uneventful until the patient presented 4 years after the second surgery with a history of dysuria and hematuria. Cystoscopy examination discovered intravesical mesh erosion 4 years after the secondary surgery. Removal of the midurethral sling mesh erosion and bladder repaired were done vaginally.ResultsThe patient was still symptom free and continent 1 year following tape excision. Urodynamic evaluation 6 months post-tape excision was also normal.ConclusionRepeated vaginal reconstructive surgery may jeopardize a primary mesh or sling, and pose a high risk of mesh erosion, which may be delayed for several years. Removal of the mesh erosion and bladder repair are feasible pervaginally with good outcome