title: Outcomes of transurethral resection (TUR) of intravesical mesh after suburethral slings in the treatment of urinary stress incontinence.
abstract: OBJECTIVE
  The objective of this study was to determine the efficacy as well as the complications associated with transurethral removal (TUR) of intravesical mesh after suburethral sling, transobturator tape-TOT (Monarc™) or "minisling" (MiniArc(®)), in the treatment of female urinary stress incontinence (USI).
  
  
  METHODS
  retrospective and consecutive study on 9 women with bladder perforation after midurethral slings (3 Monarc™ and 6 MiniArc®) placement for urinary stress incontinence. To remove the mesh, transurethral resection with an electrode loop (TUR-E) was used. The technique included: location and total removal of mesh with bipolar resectoscope up to healthy tissue.
  
  
  RESULTS
  The median age was 61 years (49-70 years). The median time between midurethral sling placement and onset the sympltoms was 13 months (1-79 months). and between sling placement and mesh removal was 16 months (1-91 months). Five women (55.5%) developed bladder stones. Mean operating time was 29.4 ± 10.4 minutes and mean length of hospital stay was 2.6 ± 0.5 days. The median follow-up after mesh removal was 38 months (range, 14 to 109 months). No complications were found.
  
  
  CONCLUSIONS
  The use of transurethral resection of intravesical mesh after suburethral slings is easy and the results obtained by our surgical team are excellent.
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España. Electronic address: fatimacasroyo@hotmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Castroviejo-Royo
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: L A
authors.initials: LA
authors.lastname: Rodríguez-Toves
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Martínez-Sagarra-Oceja
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: C
authors.initials: C
authors.lastname: Conde-Redondo
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Mainez-Rodríguez
mesh_terms: D000368:Aged; D020878:Device Removal; D004564:Electrocoagulation; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011776:Pyuria / Q000209:etiology; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D001744:Urinary Bladder Calculi / Q000209:etiology; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Complicaciones; Mesh complications; Resección transuretral; Sling suburetral; Transurethral resection; suburethral slings