Outcomes of transurethral resection (TUR) of intravesical mesh after suburethral slings in the treatment of urinary stress incontinence.

Autor:	Castroviejo-Royo F; Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España. Electronic address: fatimacasroyo@hotmail.com., Rodríguez-Toves LA; Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España., Martínez-Sagarra-Oceja JM; Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España., Conde-Redondo C; Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España., Mainez-Rodríguez JA; Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Actas urologicas espanolas [Actas Urol Esp] 2015 Apr; Vol. 39 (3), pp. 183-7. Date of Electronic Publication: 2014 Nov 04.
DOI:	10.1016/j.acuro.2014.09.006
Abstrakt:	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). Material and 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. (Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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