Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion
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Introduction and hypothesis
Synthetic meshes have proven to increase efficacy of pelvic organ prolapse (POP) repair, but associated complications are not rare. Bladder mesh extrusion is one of the most serious adverse events following POP surgery with mesh. The aim of this video was to describe endoscopic and vaginal approaches for treating a bladder-mesh extrusion.
A 52-year-old female patient with a history of vaginal POP surgery with mesh was referred for severe pelvic and perineal pain, dyspareunia, and dysuria. She was found to have a bladder calculus on a mesh extrusion. The calculus was removed by endoscopic lithotripsy before vaginal mesh excision was performed.
With the use of synthetic vaginal mesh, the incidence of bladder-mesh extrusion could increase. This didactic video will be helpful to surgeons required to manage such cases using a minimally invasive treatment.
KeywordsMesh complication Bladder extrusion Pelvic organ prolapse Urinary bladder calculi Pneumatic lithotripsy Intravesical mesh
Written informed consent was obtained from the patient for publication of this video article and any accompanying images.
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interest.
(MP4 72702 kb)
- 6.Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW et al (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS)joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery. Int Urogynecol J 22:3–15. doi: 10.1007/s00192-010-1324-9 CrossRefPubMedGoogle Scholar