title: Suprapubically assisted operative cystoscopy in the management of intravesical TVT synthetic mesh segments.
abstract: 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.
authors.affiliation: Division of Urogynecology, Harvard Medical School, Mount Auburn Hospital, 725 Concord Avenue Suite 3300, Cambridge, MA 02138, USA. prosenbl@bidmc.harvard.edu
authors.forename: Peter
authors.initials: P
authors.lastname: Rosenblatt
authors.forename: Samantha
authors.initials: S
authors.lastname: Pulliam
authors.forename: Renee
authors.initials: R
authors.lastname: Edwards
authors.forename: Sarah Hamilton
authors.initials: SH
authors.lastname: Boyles
mesh_terms: 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*
references.citation: Obstet Gynecol. 2003 Nov;102(5 Pt 1):1034-6
references.pmid: 14672482
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):328-9
references.pmid: 11052569
references.citation: Urology. 2000 Oct 1;56(4):589-94
references.pmid: 11018611
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(4):210-3
references.pmid: 9795826
references.citation: Scand J Urol Nephrol. 1995 Mar;29(1):75-82
references.pmid: 7618052
references.citation: J Urol. 1997 Sep;158(3 Pt 1):875-80
references.pmid: 9258103
references.citation: J Urol. 2003 Feb;169(2):570-4
references.pmid: 12544309
references.citation: Am J Obstet Gynecol. 1998 Dec;179(6 Pt 1):1424-8; discussion 1428-9
references.pmid: 9855576