title: Suprapubic-assisted cystoscopic excision of intravesical tension-free vaginal tape.
abstract: We report on a 56-year-old woman with irritative voiding symptoms, which started 4 months after undergoing a TVT procedure for stress incontinence (SI). Evidence of the mesh coming through the left bladder wall did not emerge until cysto-urethroscopic examination 2 years after surgery. Excision was done via transurethral cystoscopy with the aid of endoscopic scissors placed through a 5-mm suprapubic port inserted into the dome of the bladder, thus avoiding laparotomy. A Foley catheter was left in for 3 days, and after removal, the patient's symptoms disappeared almost completely.
authors.affiliation: Department of Obstetrics and Gynecology, Security Forces Hospital Program, Riyadh, Kingdom of Saudi Arabia. ahmed@albadr.com
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Badr
authors.forename: Khalid
authors.initials: K
authors.lastname: Fouda
mesh_terms: D003558:Cystoscopy; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*