Abstract
Introduction and hypothesis
To present a novel technique to remove intravesical eroded mesh through a 3-mm trocar-assisted cystoscopy.
Methods
First, a 3-mm trocar was inserted into the bladder under ultrasound guidance after the bladder had been infused with 600 ml normal saline. Second, we inserted the forceps through the trocar into the bladder and pulled the mesh through the 3-mm trocar. Last, cystoscopic scissors were used to remove the eroded mesh completely.
Results
The patient was managed adequately in the inpatient department. The urethral catheter was left in situ for 3 days, and the patient was discharged within 5 days.
Conclusion
Surgery under 3-mm trocar-assisted cystoscopy offers the advantage of lower risk of morbidity and complications compared to other surgical techniques. It is an effective and feasible procedure for treatment of synthetic mesh erosion into the bladder after TVM surgery.
References
Nakagawa T, Kawaguchi S, Mizokami A. A case of mesh erosion in the ureter eight years after a tension-free vaginal mesh surgery. Int Urogynecol J. 2019;30(12):2199–200. https://doi.org/10.1007/s00192-019-04028-2.
Ingber MS, Stein RJ, Rackley RR, Firoozi F, Irwin BH, Kaouk JH, Desai MM. Single-port transvesical excision of foreign body in the bladder. Urology. 2009;74(6):1347–50. https://doi.org/10.1016/j.urology.2009.07.1218.
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Authors and Affiliations
Contributions
Shen-Tao Lu: Project development, Performed operation, Manuscript writing.
Ming-Bo Liu: Performed operation.
Lu-Bin Liu: Project development, Performed operation.
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Written informed consent was obtained from the patient for publication of this Images in Urogynecology and any accompanying images.
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Lu, ST., Liu, MB. & Liu, LB. A new treatment of an intravesical eroded mesh after TVM: 3 mm trocar-assisted cystoscopic approach. Int Urogynecol J 33, 2321–2322 (2022). https://doi.org/10.1007/s00192-022-05128-2
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DOI: https://doi.org/10.1007/s00192-022-05128-2