title: [Erosive complications of mid urethral slings (MUS): 10 years of surgical experience].
abstract: OBJECTIVE
  Evaluation of the diagnostic and therapeutic management of erosive complications after mid urethral sling (MUS) procedure: vaginal erosions (VE), bladder (BE) and urethral (UE).
  
  
  METHODS
  Retrospective monocentric study concerning cohort of patients undergoing surgery from January 2002 to January 2013 supported for erosive complications of MSU: TVT (Tension-free Vaginal Tape) or TOT (Trans-Obturateur Tape).
  
  
  RESULTS
  Sixteen patients were diagnosed for erosive complications: 7 VE, 6 BE and 3 UE. Dyspareunia and vaginal discharge were observed in 86% patients (n=6/7) with VE. Conservative treatment by vaginal approach was systematically performed in cases of vaginal erosion. After removal of material, 100% dyspareunia were corrected. Postoperative continence was maintained in 57% of patients (n=4/7). Urinary infection was the main symptom of patients with BE. Severe dysuria was present in 66% of patients with a UE (n=2/3). First-line therapy by endoscopic treatment was performed in 77% of patients (n=7/9) with a BE or UE. A second surgery was required in 42% of patients treated with endoscopic first-line therapy (n=3/7) because of a new exposure of MUS. Three of nine patients recurred their incontinence after first-line therapy (33%).
  
  
  CONCLUSIONS
  The removal of device exposed vaginally in case VE systematically corrected symptoms with about 60% of continence. In case of BE or UE, endoscopic treatment in first-line therapy was rarely definitive (42%) and recurrence of incontinence appeared in 30% cases.
authors.affiliation: Service d'urologie-transplantation, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France; Laboratoire de recherche HeRVI (EA 3801), CURS-CHU Amiens-Picardie, 150, avenue de la Croix-Jourdain, 80480 Salouël, France. Electronic address: t.forzini@gmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Forzini
authors.affiliation: Service d'urologie-transplantation, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France; Laboratoire d'anatomie et d'organogénèse, UFR de médecine d'Amiens, 3, rue des Louvels, 80036 Amiens cedex 1, France.
authors.forename: L
authors.initials: L
authors.lastname: Viart
authors.affiliation: Service d'urologie-transplantation, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France.
authors.forename: E
authors.initials: E
authors.lastname: Alezra
authors.affiliation: Service d'urologie-transplantation, CHU Amiens-Picardie, avenue Laënnec, 80480 Salouël, France; Laboratoire de recherche HeRVI (EA 3801), CURS-CHU Amiens-Picardie, 150, avenue de la Croix-Jourdain, 80480 Salouël, France.
authors.forename: F
authors.initials: F
authors.lastname: Saint
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014621:Vagina / Q000293:injuries*; D019522:Vaginal Discharge / Q000209:etiology*
keywords: Bandelette sous-urétrale; Complications; Erosion; Incontinence urinaire d’effort; Suburethral sling; Urinary stress incontinence; Érosion