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Endoscopic Transurethral Resection of Urethral Mesh Erosion With the Use of a Pediatric Nasal Speculum

2013; Lippincott Williams & Wilkins; Volume: 121; Issue: Part 2 Linguagem: Inglês

10.1097/aog.0b013e31827ee037

1873-233X

Leon N. Plowright, Balpreet Duggal, Vivian C. Aguilar, G. Willy Davila,

Urinary Bladder and Prostate Research

In Brief BACKGROUND: A rare but challenging complication of midurethral slings is erosion of mesh tape through the urethral wall. CASES: In this report, we describe two cases in which a pediatric nasal speculum provided exposure for transurethral resection of eroded mesh. Exposure was sufficient for complete mesh resection endoscopically as well as with use of traditional surgical instruments. Since having surgery there has been no recurrence of mesh erosion and the irritative voiding symptoms have resolved. CONCLUSION: Urethral mesh erosion can be managed from a transurethral approach. Furthermore, use of a pediatric nasal speculum improves visualization and efficiency. Using a pediatric nasal speculum provides the needed exposure for ease of endoscopic resection of eroded urethral mesh.