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International Urogynecology Journal
Published in: International Urogynecology Journal 1/2020

Open Access 01-01-2020 | Incontinence Surgery | Review Article

Role of endoscopic management in synthetic sling/mesh erosion following previous incontinence surgery: a systematic review from European Association of Urologists Young Academic Urologists (YAU) and Uro-technology (ESUT) groups

Authors: Sulaiman Sadaf Karim, Amelia Pietropaolo, Andreas Skolarikos, Omar Aboumarzouk, Panagiotis Kallidonis, Thomas Tailly, Vincent de Coninck, Etienne Xavier Keller, Bhaskar Kumar Somani

Published in: International Urogynecology Journal | Issue 1/2020

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Abstract

Introduction and hypothesis

Foreign body (FB) erosion is now recognized as a major long-term complication following previous incontinence surgery. The aim of our systematic review was to ascertain the outcomes of endoscopic management in synthetic sling/mesh erosion following previous gynaecological surgery.

Methods

A systematic review in line with PRISMA and Cochrane guidelines was conducted for all English language articles between 1996 and December 2018 for all articles reporting on endoscopic surgical management for eroded FB following previous sling/mesh procedure for incontinence.

Results

Our search produced 931 articles of which 20 articles (198 patients) were included in our review; 149 (75%) had tension-free vaginal tapes (TVT) or tension-free obturator tapes (TOT) as their initial procedure. The site of mesh erosion was the bladder in 134 patients (68%) of which 12 (6%) were in the bladder neck. Urethral mesh erosion was seen in 63 patients (32%) across all studies.
The treatment of eroded mesh was by laser and endoscopic excision using an electrode loop or laparoscopic scissors in 108 (55%) and 90 (45%) patients respectively. The initial/final success rate with laser and endoscopic excision was 67%/92% and 80%/98% respectively. The overall complication rates were 24% and 28% in laser and endoscopic groups respectively of which 21% in each group were stress urinary incontinence.

Conclusions

Endoscopic management of FB erosion is an effective minimally invasive technique with good outcomes and minimal morbidity. Management with the use of holmium laser is gaining momentum and could be attempted before open surgical removal. There is a need for comparative data between open surgical excision and endoscopic excision to help better describe the patient’s most likely to benefit from the endoscopic technique.
Literature
1.
Oliphant SS, Wang L, Bunker CH, Lowder JL. Trends in stress urinary incontinence inpatient procedures in the United States, 1979–2004. Am J Obstet Gynecol. 2009;200:521.e1–6.CrossRef
2.
Koelbl H, Stoerer S, Seliger G, Wolters M. Transurethral penetration of a tension-free vaginal tape. BJOG. 2001;108:763–5.PubMed
3.
Giri SK, Drumm J, Flood HD. Endoscopic holmium laser excision of intravesical tension-free vaginal tape and poly-propylene suture after anti-incontinence procedures. J Urol. 2005;174(4 Pt 1):1306–7.CrossRef
4.
Frenkl TL, Rackley RR, Vasavada SP, Goldman HB. Management of iatrogenic foreign bodies of the bladder and urethra following pelvic floor surgery. Neurourol Urodyn. 2008;27:491–5.CrossRef
5.
Jo D-J, Lee Y-S, Oh T-H, Ryu D-S, Kwak K-W. Outcomes of transurethral removal of intravesical or intraurethral mesh following midurethral sling surgery. Korean J Urol. 2011;52:829–34.CrossRef
6.
Hodroff M, Portis A, Siegel SW. Endoscopic removal of intravesical polypropylene sling with the holmium laser. J Urol. 2004;172(4 Pt 1):1361–2.CrossRef
7.
Sakalis VI, Gkotsi AC, Triantafyllidis A, Giouris A, Charalambous S. Transurethral holmium laser intravesical tape excision following TVT procedure: results from seven patients in a 12-month follow-up. Int Urogynecol J. 2012;23:769–77.CrossRef
8.
Davis NF, Smyth LG, Giri SK, Flood HD. Evaluation of endoscopic laser excision of polypropylene mesh/sutures following anti-incontinence procedures. J Urol. 2012;188:1828–32.CrossRef
9.
Campobasso D, Cerasi D, Fornia S, Meli S, Ferretti S, Cortellini P. Endoscopic holmium laser management of tension-free vaginal tape eroded into the bladder. Int Urol Nephrol. 2014;46:1507–10.CrossRef
10.
Ogle CA, Linder BJ, Elliott DS. Holmium laser excision for urinary mesh erosion: a minimally invasive treatment with favorable long-term results. Int Urogynecol J. 2015;26:1645–8.CrossRef
11.
Novara G, Galfano A, Boscolo-Berto R, et al. Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol. 2008;53:288.CrossRef
12.
13.
Baracat F, Mitre AI, Kanashiro H, Montellato NID. Endoscopic treatment of vesical and urethral perforations after tension-free vaginal tape (TVTÒ) procedure for female stress urinary incontinence. Clinics. 2005;60:397–400.CrossRef
14.
Velemir L, Amblard J, Jacquetin B, Fatton B. Urethral erosion after suburethral synthetic slings: risk factors, diagnosis, and functional outcome after surgical manage- ment. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:999–1006.CrossRef
15.
Huwyler M, Springer J, Kessler TM, Burkhard FC. A safe and simple solution for intravesical tension-free vaginal tape erosion: removal by standard transurethral resection. BJU Int. 2008;102:582–5.CrossRef
16.
Volkmer BG, Nesslauer T, Rinnab L, et al. Surgical intervention for complications of tension-free vaginal tape procedure. J Urol. 2003;169:570.CrossRef
17.
Wijffels SAM, Elzevier HW, Nijeholt AABLA. Transurethral mesh resection after urethral erosion of tension-free vaginal tape: report of three cases and review of literature. Int Urogynecol J. 2008;20:261–3.CrossRef
18.
Oh T-H, Ryu D-S. Transurethral resection of intravesical mesh after midurethral sling procedures. J Endourol. 2009;23:1333–7.CrossRef
19.
Foley C, Patki P, Boustead G. Unrecognized bladder perforation with mid-urethral slings. BJU Int. 2010;106:1514–8.CrossRef
20.
Castroviejo-Royo F, Rodríguez-Toves LA, Martínez-Sagarra-Oceja JM, Conde-Redondo C, Mainez-Rodríguez JA. Outcomes of transurethral resection (TUR) of intravesical mesh after suburethral slings in the treatment of urinary stress incontinence. Actas Urol Esp. 2015;39:183–7.CrossRef
21.
22.
Higgins JP, Green S, editors. Cochrane handbook for systematic reviews of interventions. Chichester: Wiley; 2008. Accessed 03 Mar 2019.
23.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRef
24.
Haylen BT, Freeman RM, Swift SE, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery. Int Urogynecol J. 2011;22:3–15. https://​doi.​org/​10.​1007/​s00192-010-1324-9.​ CrossRefPubMed
25.
Chan G, Mamut A, Martin P, et al. Holmium:YAG laser ablation for the management of lower urinary tract foreign bodies following incontinence surgery: a case series and systematic review. J Endourol. 2016;30(11):1252–61.CrossRef
26.
Doumouchtsis S, Lee F, Bramwell D, Fynes M. Evaluation of holmium laser for managing mesh/suture complications of continence surgery. BJU Int. 2011;108(9):1472–8.CrossRef
27.
Lee C, Ku J, Lee K, et al. Clinical application of a transurethral holmium laser excision of exposed polypropylene mesh at lower urinary tract. Female Pelvic Medicine & Reconstructive Surgery. 2018;24(1):26–31.CrossRef
28.
29.
30.
Chughtai B, Barber MD, Mao J, et al. Association between the amount of vaginal mesh used with mesh erosions and repeated surgery after repairing pelvic organ prolapse and stress urinary incontinence. JAMA Surg. 2017;152(3):257–63.CrossRef
31.
Cheng YW, Su TH, Wang H, et al. Risk factors and management of vaginal mesh erosion after pelvic organ prolapse surgery. Taiwan J Obstet Gynaecol. 2017;56(2):184–7.CrossRef
32.
De Mattos Lourenco TR, Pergialiotis V, Duffy JMN, et al. A systematic review on reporting outcomes and outcome measures in trials on synthetic mesh procedures for pelvic organ prolapse: urgent action is needed to improve quality of research. Neurourol Urodyn. 2019;38(2):509–24.CrossRef
33.
Nalliah S, Teng H, Chong XY, et al. Incidence of vaginal erosion with different synthetic materials for suburethral sling in the treatment of stress urinary incontinence: a systematic review. Med J Malaysia. 2018;73(3):147–53.
34.
Metadata
Title
Role of endoscopic management in synthetic sling/mesh erosion following previous incontinence surgery: a systematic review from European Association of Urologists Young Academic Urologists (YAU) and Uro-technology (ESUT) groups
Authors
Sulaiman Sadaf Karim
Amelia Pietropaolo
Andreas Skolarikos
Omar Aboumarzouk
Panagiotis Kallidonis
Thomas Tailly
Vincent de Coninck
Etienne Xavier Keller
Bhaskar Kumar Somani
Publication date
01-01-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 1/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-04087-5

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