Top

International Urogynecology Journal

Published in:

01-06-2012 | Original Article

Transurethral holmium laser intravesical tape excision following TVT procedure: results from seven patients in a 12-month follow-up

Authors: Vasileios I. Sakalis, Anastasia Chr. Gkotsi, Argyrios Triantafyllidis, Apostolos Giouris, Stavros Charalambous

Published in: International Urogynecology Journal | Issue 6/2012

Abstract

Introduction and hypothesis

The aim of this study is to evaluate the efficacy and the safety of the holmium:YAG laser for intravesical mesh excision in female patients with urinary bladder erosion complicated tension-free vaginal tape (TVT) procedure.

Methods

Between June 2, 2008 and December 31, 2009, seven patients who underwent laser excision of an intravesically protruding tape were followed up every 3 months for a total period of 1 year by disease-specific questionnaires, physical examination, cough stress test, urine analysis, urine bacterial culture, ultrasound and uroflowmetry. Filling cystometry was offered preoperatively and at the 3rd month, while cystoscopy was offered preoperatively and at the 1st month. The presenting symptoms were dysuria, urgency, hematuria, and recurrent lower urinary tract infections. Holmium laser was used for ablation and removal of the tape. The postoperative period was uneventful.

Results

There was a substantial improvement in the urgency status, in the maximum flow rate (Q _max) from 11.29 ml/s to 19.43 ml/s, in the voided volume (VV) from 185 ml to 251.43 ml and in the maximum cystometric capacity (C) from 237.86 ml to 310.64 ml pre- and postoperative, respectively.

Conclusions

Holmium laser ablation represents a simple, safe and efficacious procedure to manage intravesical mesh complications following TVT procedure.

Available only for authorised users

Petros PE, Ulmsten UI (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153:7–31PubMed

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7(2):81–85PubMedCrossRef

Roupret M, Misrai V, Vaessen C, Cour F, Haertig A, Kastler EC (2010) Laparoscopic surgical complete sling resection for tension-free vaginal tape related complications refractory to first line conservative management: a single center experience. Eur Uro 58:270–274CrossRef

Abouassly R, Steinberg JR, Lemieux M (2004) Complications of tension free vaginal tape surgery: a multi-institutional review. BJU Int 94:110–113CrossRef

Daneshgari F, Kong W, Swartz M (2008) Complications of mid urethral slings: important outcomes for future clinical trials. J Urol 180:1890–1897PubMedCrossRef

Goldman HB (2011) Urethrolysis. Urol Clin North Am 38(1):31–37PubMedCrossRef

Charalambous S, Tountziaris C, Karapanagiotidis C, Thamnopoulos C, Papathanasiou A, Rombis V (2008) A simple technique for intravesical tape removal. Pelviperineology 27:26–27

Volkmer BG, Nesslauer T, Rinnab L (2003) Surgical intervention for complications of the tension free vaginal tape procedure. J Urol 169:570–574PubMedCrossRef

Jorion JL (2002) Endoscopic treatment of bladder perforation after tension free vaginal tape procedure. J Urol 168:197PubMedCrossRef

10.

Kielb S, Clemens J (2004) Endoscopic excision of intravesical tension free vaginal tape and polypropylene suture after anti-incontinence procedures. J Urol 174:1306–1307

11.

Panayi DC, Khullar V (2008) Quality of life questionnaires in evaluating overactive bladder. Eur Uro Rev 3(1):59–61

12.

Weber AM, Abrams A, Brubaker L, Cundiff G, Davis G, Dmochowski GG, Fischer J, Hull T, Nygaard I, Weidner AC (2001) The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J 12:178–186CrossRef

13.

Wollin TA, Denstedt JD (1998) The holmium laser in urology. J Clin Laser Med Surg 16(1):13–20PubMed

14.

Giri SK, Sil D, Narasimhulu G, Flood HD, Skehan M, Drumm J (2007) Management of vaginal extrusion after tension-free vaginal tape procedure for urodynamic stress incontinence. J Urol 69(6):1077–1080CrossRef

15.

Zinner NR (1998) Clinical aspects of detrusor instability and the value of urodynamics. Eur Urol 34:16–19PubMedCrossRef

16.

Waltregny D, de Leval J (2009) The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J Pelvic Floor Dysfunct 20:337–348PubMedCrossRef

17.

Zullo MA, Plotti F, Calcagno M, Marullo E, Palaia I, Bellati F, Basile S, Muzii L, Angioli R, Panici PB (2007) One year follow-up of tension free vaginal tape (TVT) and transobturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective trial. Eur Urol 51:1376–1382PubMedCrossRef

18.

Zugor V, Labanaris A, Rezaei-Jafari M, Hammerer P, Dembowski J, Witt J, Wucherpfennig W (2010) TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months. Int Urol Nephrol 42:915–920PubMedCrossRef

19.

Haab F, Sananes S, Amarenco G, Ciofu C, Uzan S, Gattengo B, Thibault P (2001) Results of tension free vaginal tape procedure for the treatment of type II stress incontinence at a minimum follow up of 1-year. J Urol 165:159:62

20.

Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72PubMedCrossRef

21.

Ward KL, Hilton P, Browing J (2000) A randomised trial of colposuspension and tension free vaginal tape for primary genuine stress incontinence. Neurourol Urod 19:386

22.

Doumouchtsis S, Lee F, Bramwell D, Fynes M (2011) Evaluation of holmium laser for managing mesh/suture complications of continence surgery. BJU Int. doi:10.1111/j.1464-410X.2010.10012.x

23.

Hammad FT, Kennedy-Smithe A, Robinson RG (2005) Erosions and urinary retention following polypropylene synthetic sling: Australasian survey. Eur Urol 47:641–646PubMedCrossRef

24.

Ulmsten U, Johnson P, Rezapour M (1999) A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 160:345–350

25.

Rahul M, Sudhir A, Saroj S, Sanjay C, Kusum H (2009) Urinary tract infections caused by Pseudomonas aeruginosa: a minireview. J Inf Pub Health 2(3):101–111CrossRef

26.

Velemir L, Amblard J, Jacquetin B, Fatton B (2008) Urethral erosion after suburethral synthetic slings: risk factors, diagnosis and functional outcome after surgical management. IntUrogynecol J Pelvic Floor Dysfunct 19:999–1006CrossRef

27.

Reich A, Wiesner K, Kohorst F, Kreienberg R, Flock F (2009) Comparison of transobturator vaginal tape and retropubic tension-free vaginal tape: clinical outcome and sonographic results of a case–control study. Gynecol Obstet Invest 68(2):137–144PubMedCrossRef

28.

Holmgren C, Nilsson S, Lanner L, Hellberg D (2007) Frequency of de novo urgency in 463 women who had undergone the tension-free vaginal tape (TVT) procedure for genuine stress urinary incontinence—a long-term follow-up. Eur J Obst Gyn Rep Biol 132(1):121–125CrossRef

29.

Davis C, Cohen M, Gruber M, Anderson M, Warren M (1984) Urothelial hyperplasia and neoplasia: a response to chronic urinary tract infections in rats. J Urol 132(5):1025–1031PubMed

30.

Giri Sk, Drumm J, Flood HD (2005) Endoscopic holmium laser excision of intravesical tension-free vaginal tape and polypropylene suture after anticontinence procedures. J Urol 174(4Pt 1):1306–1307PubMedCrossRef

31.

Frenkl TL, Rackley RR, Vasavada SP, Goldman HB (2008) Management of iatrogenic foreign bodies of the bladder and urethra following pelvic floor surgery. Neurourol Urodyn 27:491–495PubMedCrossRef

32.

Feiner B, Auslander R, Mecz Y, Lissak A, Stein A, Abramov Y (2009) Removal of an eroded transobturator tape from the bladder using laser cystolithotripsy and cystoscopic resection. Urology 73(681):e15–e16PubMed

Title: Transurethral holmium laser intravesical tape excision following TVT procedure: results from seven patients in a 12-month follow-up
Authors: Vasileios I. Sakalis
Anastasia Chr. Gkotsi
Argyrios Triantafyllidis
Apostolos Giouris
Stavros Charalambous
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1574-1

2024 ASCO Annual Meeting

Springer Medicine

Transurethral holmium laser intravesical tape excision following TVT procedure: results from seven patients in a 12-month follow-up

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2012

Midurethral sling shortening for persistent stress urinary incontinence

Ovarian cancer and the pelvic floor surgeon: the case for prophylactic bilateral salpingectomy during POP surgery

Normal lower urinary tract assessment in women: I. Uroflowmetry and post-void residual, pad tests, and bladder diaries

Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review

Surgery for cystocele III: do all cystoceles involve apical descent?

Levator hiatus dimensions and pelvic floor function in women with and without major defects of the pubovisceral muscle