A safe and simple solution for intravesical tension-free vaginal tape erosion: removal by standard transurethral resection

Huwyler, Mirjam; Springer, Johannes; Kessler, Thomas M; Burkhard, Fiona C (2008). A safe and simple solution for intravesical tension-free vaginal tape erosion: removal by standard transurethral resection. BJU international, 102(5), pp. 582-5. Oxford: Blackwell Science 10.1111/j.1464-410X.2008.07734.x

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OBJECTIVE: To report our experience with the successful removal of visible tension-free vaginal tape (TVT) by standard transurethral electroresection, as intravesical tape erosion after TVT is a rare complication, and removal can be challenging, with few cases reported. PATIENTS AND METHODS: Five patients presenting with TVT erosion into the bladder were treated at our institutions from December 2004 to July 2007; all had standard transurethral electroresection. Their records were reviewed retrospectively to retrieve data on presenting symptoms, diagnostic tests, surgical procedures and outcomes. RESULTS: The median (range) interval between the TVT procedure and the onset of symptoms was 17 (1-32) months. The predominant symptoms were painful micturition, recurrent urinary tract infection (UTI), urgency and urge incontinence. There were no complications during surgery. The storage symptoms and UTI resolved completely after removing the eroded mesh in all but one patient. Cystoscopy at 1 month after surgery showed complete healing of the bladder mucosa. CONCLUSION: Although TVT erosion into the bladder is rare, persistent symptoms, particularly recurrent UTIs, must raise some suspicion for this condition. Standard transurethral electroresection seems to be a safe, simple, minimally invasive and successful treatment option for TVT removal.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Huwyler, Mirjam and Burkhard, Fiona C.

ISSN:

1464-4096

ISBN:

18485041

Publisher:

Blackwell Science

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

04 May 2014 23:20

Publisher DOI:

10.1111/j.1464-410X.2008.07734.x

PubMed ID:

18485041

Web of Science ID:

000258153600012

URI:

https://boris.unibe.ch/id/eprint/28000 (FactScience: 115433)

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