Suprapubically assisted operative cystoscopy in the management of intravesical TVT synthetic mesh segments.
The tension-free vaginal tape (TVT) sling has become one of the most common procedures performed for the treatment of female stress incontinence. Perforations of the bladder during the TVT placement are relatively common, but are usually noted on cystoscopy and corrected at the time of the procedure. Undetected perforation may result in several complications including recurrent urinary tract infections, bladder stone formation, and pelvic pain. A novel technique is described using operative cystoscopy with suprapubic assistance, which provides an effective means for resection of intravesical mesh. Unlike traditional approaches via laparotomy, this minimally invasive procedure may allow for successful mesh removal while avoiding the morbidity of an open procedure.
Rosenblatt
Peter
P
Division of Urogynecology, Harvard Medical School, Mount Auburn Hospital, 725 Concord Avenue Suite 3300, Cambridge, MA 02138, USA. prosenbl@bidmc.harvard.edu
Pulliam
Samantha
S
Edwards
Renee
R
Boyles
Sarah Hamilton
SH
D000328:Adult; D003558:Cystoscopy; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013526:Surgical Mesh / Q000009:adverse effects*; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000601:surgery*
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