PFD Week 2016-A Novel Technique for Transurethral Excision of Intravesical Synthetic Mesh Extrusion

A Novel Technique for Transurethral Excision of Intravesical Synthetic Mesh Extrusion

Video Transcription

Video Summary

A 55-year-old woman underwent reconstructive pelvic surgery for pelvic organ prolapse and urinary incontinence. She developed urinary urgency, frequency, pain, and recurrent infections. She later had a sacral neurostimulator implanted for overactive bladder. Four years later, a second opinion revealed mesh erosion on the posterior bladder wall. Intravasical mesh removal was performed using an endoloop device. The remaining mesh was excised, and the bladder was inspected and found to be intact. The mesh at the right exit site and the urethral orifice were also excised.

Asset Subtitle

Raisa Platte, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Complications

Category Urinary Incontinence

Concept Bladder Erosion

Concept Urinary Urgency

Concept Urinary Frequency

Concept Recurrent Urinary Tract Infection

Concept Suprapubic Pain

Keywords

reconstructive pelvic surgery

pelvic organ prolapse

urinary incontinence

sacral neurostimulator

mesh erosion

Surgery - Vaginal Procedures

Complications

Urinary Incontinence

Bladder Erosion

Urinary Urgency

Urinary Frequency

Recurrent Urinary Tract Infection

Suprapubic Pain