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International Urogynecology Journal

, Volume 27, Issue 7, pp 1113–1115 | Cite as

Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion

  • H. Joaquín Alvarez Garzon
  • Baptiste Jacquemet
  • Nicolas Mottet
  • François Kleinclauss
  • Didier Riethmuller
  • Rajeev RamanahEmail author
IUJ Video

Abstract

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.

Methods

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.

Conclusions

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.

Keywords

Mesh complication Bladder extrusion Pelvic organ prolapse Urinary bladder calculi Pneumatic lithotripsy Intravesical mesh 

Notes

Consent

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.

Supplementary material

ESM 1

(MP4 72702 kb)

References

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Copyright information

© The International Urogynecological Association 2015

Authors and Affiliations

  • H. Joaquín Alvarez Garzon
    • 1
  • Baptiste Jacquemet
    • 2
  • Nicolas Mottet
    • 1
  • François Kleinclauss
    • 2
  • Didier Riethmuller
    • 1
  • Rajeev Ramanah
    • 1
    Email author
  1. 1.Pôle Mère-FemmeBesancon University Medical CentreBesançonFrance
  2. 2.Urology DepartmentBesancon University Medical CentreBesanconFrance

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