Transurethral and suprapubic mesh resection after Prolift bladder perforation: a case report.
Bladder perforation is a complication which can occur after a Prolift procedure and may enhance vesicovaginal fistula formation. Different methods of management of bladder perforation caused by mesh procedures are described in the literature, and most authors advise complete excision of the mesh. In the case described in this article, we propose a combined transurethral and suprapubical approach as the optimal method for maximal tape removal, being both minimally invasive and less damaging to the vesical wall. A suprapubical catheter can be removed shortly after surgery to enable optimal tissue healing of the vesical mucosa.
Bekker
Milou D
MD
Department of Urology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. M.D.Bekker@lumc.nl
Bevers
Rob F M
RF
Elzevier
Henk W
HW
D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D014521:Urethra; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery*