Outcomes of Transurethral Removal of Intravesical or Intraurethral Mesh Following Midurethral Sling Surgery
조대진, 이영석, 오태희, Ryu Dong-Su, 곽경원,
소속 상세정보
조대진 ( Jo Dae-Jin )
Sungkyunkwan University School of Medicine Department of Urology
이영석 ( Lee Young-Suk )
Sungkyunkwan University School of Medicine Department of Urology
오태희 ( Oh Tae-Hee )
Sungkyunkwan University School of Medicine Department of Urology
( Ryu Dong-Su )
Sungkyunkwan University School of Medicine Department of Urology
곽경원 ( Kwak Kyung-Won )
Sungkyunkwan University School of Medicine Department of Urology
KMID : 0358320110520120829
Abstract
Purpose: To present outcomes of transurethral removal (TUR) of intravesical or intraurethral mesh after midurethral slings.
Materials and Methods: This was a retrospective chart review of 23 consecutive women: 20 with intravesical mesh and 3 with intraurethral mesh.
Results: To remove the mesh, transurethral resection with an electrode loop (TUR-E) was used in 16 women and transurethral resection with a holmium laser (TUR-H) was used in 7. The median follow-up was 2.1 months. Twenty-six percent of the women (6/23) had a mesh remnant: 6.2% (1/16) of the women treated with TUR-E and 71.4% (5/7) of the women treated with TUR-H. Of the 5 women treated with TUR-H, 3 underwent concomitant transvaginal removal. On the follow-up cystoscopic exam, a mesh remnant was observed in 3 women (1 treated with TUR-E and 2 treated with TUR-H). Vesico-vaginal fistulas were found in 2 women during and after TUR-E, respectively. Stress urinary incontinence recurred in 1 woman.
Conclusions: TUR-E has a high success rate but carries a risk of bladder perforation. Complete resection using TUR-H depends on the location of the mesh and the range of motion of the instrument.
키워드
Complications; Management; Suburethral slings
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