Journal of endourology · 2008
Extraperitoneal laparoscopic removal of eroded midurethral sling: a new technique.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Rehman Jamil, Chugtai Bilal, Sukkarich Troy, Khan S Ali
Аннотация
PURPOSE: Erosion of a midurethral sling is common in women who are treated for stress urinary incontinence. This complication is usually managed by retropubic exploration. We report a novel technique to manage erosion in patients who refuse retropubic exploration.
PATIENTS AND METHODS: Two women (ages 47 and 53 years) with stress urinary incontinence were treated with a midurethral sling. Postoperatively, at 24 and 22 months, respectively, the sling had eroded through the high urethra near the bladder neck. A three-port extraperitoneal laparoscopic approach was used to remove the urethral slings and repair the bladder.
RESULTS: The procedure was accomplished in 80 and 75 minutes, respectively, with no complications. Both patients remained continent.
CONCLUSION: A minimally invasive extraperitoneal surgical technique can be used to manage midurethral sling erosion in women.
PATIENTS AND METHODS: Two women (ages 47 and 53 years) with stress urinary incontinence were treated with a midurethral sling. Postoperatively, at 24 and 22 months, respectively, the sling had eroded through the high urethra near the bladder neck. A three-port extraperitoneal laparoscopic approach was used to remove the urethral slings and repair the bladder.
RESULTS: The procedure was accomplished in 80 and 75 minutes, respectively, with no complications. Both patients remained continent.
CONCLUSION: A minimally invasive extraperitoneal surgical technique can be used to manage midurethral sling erosion in women.