Alternative method of suprapubic assistance in operative cystoscopy.
Complications of tension-free vaginal tape (TVT) procedures have become more prevalent as the procedure has become more popular for the treatment of stress urinary incontinence. A common complication of TVT slings is bladder perforation, which is estimated to occur in 0.7-24% of treated patients. While easily treated if identified intraoperatively, unrecognized bladder perforation generally requires further surgery to correct. We propose a novel minimally invasive technique using the suture passer of the Carter-Thomason CloseSure system for suprapubic assistance during cystoscopic removal of TVT mesh from the bladder. This novel approach allows for the avoidance of an open incision or a larger accessory port placed through the bladder to assist with mesh excision.
Chang
Pauline L
PL
Department of Obstetrics and Gynecology, Stanford University, 300 Pasteur Drive, Room HH333, Stanford, CA 94305, USA. pchang43@stanford.edu
Sokol
Eric R
ER
D000328:Adult; D003558:Cystoscopy / Q000379:methods*; D020878:Device Removal; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D053825:Suburethral Slings / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery*