Novel endoscopic management of a late complication following TVT insertion for stress urinary incontinence

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dc.contributor.authorO'Sullivan, Orfhlaith E.en
dc.contributor.authorMartyn, Fionaen
dc.contributor.authorO'Connor, Roryen
dc.contributor.authorJaffery, Syeden
dc.date.accessioned2025-03-04T10:28:08Z
dc.date.available2025-03-04T10:28:08Z
dc.date.issued2013en
dc.description.abstractBackground: Since 1995 over 1 million tension free vaginal slings have been utilized to treat stress incontinence. The 10 year success rates range from 84-93%. Complication rates are low by comparision. Bladder perforation occurring during the time of surgery and is managed effectively if diagnosed and treated intraoperatively. However bladder erosion occuring post-operatively predominantly occur within the first 2 years. The risk of erosion increases with body mass index and previous vaginal surgery. Case Report: We report the case of a bladder erosion occurring 5 years following the original surgery. The symptoms included recurrent urinary tract infections, frequency and haematuria. A novel technique was employed using the transurethral approach to initially disintegrate the calculus and then using an endoshears to excise the mesh below the level of the epithelium. Continence was maintained postoperatively. Conclusions: This approach provides a safe alternative to both the transvaginal and transabdominal approach to excising intravesical mesh. © Am J Case Rep, 2013.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO’Sullivan, O. E., Martyn, F., O’Connor, R. and Jaffery, S. (2013) 'Novel endoscopic management of a late complication following TVT insertion for stress urinary incontinence', The American Journal of Case Reports, 14, p.459. https://doi.org/10.12659/AJCR.889571en
dc.identifier.doihttps://doi.org/10.12659/AJCR.889571en
dc.identifier.endpage461en
dc.identifier.issn19415923en
dc.identifier.journaltitleAmerican Journal of Case Reportsen
dc.identifier.startpage459en
dc.identifier.urihttps://hdl.handle.net/10468/17145
dc.identifier.volume14
dc.language.isoenen
dc.publisherInternational Scientific Information, Inc.en
dc.rights© 2013, the Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectEndoscopicen
dc.subjectErosionen
dc.subjectTVTen
dc.titleNovel endoscopic management of a late complication following TVT insertion for stress urinary incontinenceen
dc.typeArticle (peer reviewed)en
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