title: Transurethral resection of intravesical mesh after midurethral sling procedures.
abstract: OBJECTIVE
  We evaluated the efficacy of the transurethral resection (TUR) for the management of intravesically exposed polypropylene mesh after midurethral sling (MUS) procedures.
  
  
  METHODS
  Fourteen patients had a TUR for intravesical mesh after MUS procedures (tension-free vaginal tape, 11; transobturator tape, 3). In six patients with large stones, cystoscopic division and cystolitholapaxy were needed before the TUR.
  
  
  RESULTS
  Patients presented with dysuria (9), hematuria (7), urgency incontinence (5), urinary frequency (2), and pelvic pain (2). Thirteen of 14 (92.9%) patients had the mesh completely removed during a mean follow-up of 18 months; one patient had a recurrent bladder stone. Complications included de novo mixed incontinence, pelvic hematoma, and vesicovaginal fistula among three patients.
  
  
  CONCLUSIONS
  Urologists should suspect intravesical mesh erosion or stone formation in patients with persistent pain, hematuria, or bladder irritation symptoms after MUS procedures. The TUR was a useful treatment modality for patients with intravesical complications after MUS procedures.
authors: Department of Urology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.
authors: Tae-Hee
authors: TH
authors: Oh
authors: Dong-Soo
authors: DS
authors: Ryu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000601:surgery