Suprapubic-assisted Transurethral Excision of a Vaginal Mesh Eroded Into the Bladder

L Cormio; G Liuzzi; P Massenio; N Ruocco; G Di Fino; V Mancini; O Selvaggio; G Carrieri

doi:10.1016/j.eucr.2015.03.004

Suprapubic-assisted Transurethral Excision of a Vaginal Mesh Eroded Into the Bladder

Urol Case Rep. 2015 Apr 7;3(3):84-5. doi: 10.1016/j.eucr.2015.03.004. eCollection 2015 May.

Authors

L Cormio¹, G Liuzzi¹, P Massenio¹, N Ruocco¹, G Di Fino¹, V Mancini¹, O Selvaggio¹, G Carrieri¹

Affiliation

¹ Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n. 1, 75122 Foggia, Italy.

Abstract

A 56-year-old woman with irritative voiding symptoms and recurrent urinary infections was found to have erosion into the bladder of a tension-free vaginal tape placed 61 months before. To achieve radical excision, a 26Fr Amplatz sheath was placed suprapubically under endoscopic vision. A rigid nephroscope with grasping forceps was used to pull the eroded mesh out of the bladder wall while excising it transurethrally with a resectoscope. Postoperative course was uneventful; 12 months after surgery the patient remains asymptomatic. This novel technique provides an effective means of radically removing a mesh eroded into the bladder either transurethrally or suprapubically.

Keywords: Cystoscopy; Suprapubic; Vaginal mesh.

Publication types

Case Reports