title: Suprapubic-assisted Transurethral Excision of a Vaginal Mesh Eroded Into the Bladder.
abstract: A 56-year-old woman with irritative voiding symptoms and recurrent urinary infections was found to have erosion into the bladder of a tension-free vaginal tape placed 61 months before. To achieve radical excision, a 26Fr Amplatz sheath was placed suprapubically under endoscopic vision. A rigid nephroscope with grasping forceps was used to pull the eroded mesh out of the bladder wall while excising it transurethrally with a resectoscope. Postoperative course was uneventful; 12 months after surgery the patient remains asymptomatic. This novel technique provides an effective means of radically removing a mesh eroded into the bladder either transurethrally or suprapubically.
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Cormio
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Liuzzi
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Massenio
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Ruocco
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Di Fino
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Mancini
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: O
authors.initials: O
authors.lastname: Selvaggio
authors.affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Carrieri
keywords: Cystoscopy; Suprapubic; Vaginal mesh