Removal of an eroded transobturator tape from the bladder using laser cystolithotripsy and cystoscopic resection.
This case presentation describes a unique minimally invasive technique of treating transobturator tape erosion into the urinary bladder with calculus growth. A 42-year-old woman was admitted for recurrent urinary tract infections, 9 months after a transobturator tape procedure. Pelvic sonography, followed by cystourethroscopy, demonstrated an eroded tape in the bladder with heavy calculus growth and diffuse mucosal inflammation. The calculus was fragmented by using laser cystolithotripsy, and the tape was excised and removed by using cystoscopic resection. Intravesical tape erosion with calculus growth can complicate transobturator tape procedures, and is amenable to transurethral laser cystolithotripsy and cystoscopic resection.
Feiner
Benny
B
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, Haifa, Israel. feiner@tx.technion.ac.il
Auslender
Ron
R
Mecz
Yoel
Y
Lissak
Arie
A
Stein
Avi
A
Abramov
Yoram
Y
D000328:Adult; D003558:Cystoscopy; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000628:therapy*; D006801:Humans; D017602:Lithotripsy, Laser; D011475:Prosthesis Failure; D053825:Suburethral Slings / Q000009:adverse effects*; D001743:Urinary Bladder; D001744:Urinary Bladder Calculi / Q000209:etiology* / Q000628:therapy*