Urogynecology - CRSLS https://crsls.sls.org MIS Case Reports of the Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 29 Jun 2016 15:51:35 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://crsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-32x32.png Urogynecology - CRSLS https://crsls.sls.org 32 32 Laparoscopic Transvesical Mesh Removal and Vesicovaginal Fistula Repair https://crsls.sls.org/2014-00370/ https://crsls.sls.org/2014-00370/#respond Sun, 16 Nov 2014 20:24:42 +0000 https://crsls.sls.org/?p=996 John R. Miklos, MD, Robert D. Moore, DO, Orawee Chinthakanan, MD, MPHInternational Urogynecology Associates, Alpharetta, GA, USA (all authors). ABSTRACTBackground: Complications associated with anterior vaginal wall mesh used during transvaginal surgery for prolapse occur more frequently than in other areas of the vagina. A vesicovaginal fistula is one of the rare complications of anterior vaginal […]

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]]> John R. Miklos, MD, Robert D. Moore, DO, Orawee Chinthakanan, MD, MPHInternational Urogynecology Associates, Alpharetta, GA, USA (all authors).

ABSTRACTBackground: Complications associated with anterior vaginal wall mesh used during transvaginal surgery for prolapse occur more frequently than in other areas of the vagina. A vesicovaginal fistula is one of the rare complications of anterior vaginal wall mesh surgery.

Case: A 69-year-old woman with a history of anterior vaginal wall prolapse developed a vesicovaginal fistula within days of undergoing anterior transvaginal mesh surgery. A transvesical laparoscopic approach was used to resect the bladder mesh. Then an extravesical vesicovaginal fistula repair was performed.

Conclusion: Laparoscopy can be an alternative to simultaneous bladder mesh removal and surgical correction of a vesicovaginal fistula.

Key Words: Vesicovaginal fistula, Mesh complications, Mesh erosion, Laparoscopic repair of vesicovaginal fistula, PROLIFT.

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]]> https://crsls.sls.org/2014-00370/feed/ 0 Laparoscopic TVT Sling Removal Following Prior Transvaginal Sling Excision https://crsls.sls.org/2014-00095/ https://crsls.sls.org/2014-00095/#respond Wed, 12 Nov 2014 17:48:08 +0000 https://crsls.sls.org/?p=698 Sagarika Sinha, DO, John R. Miklos, MD, Robert D. Moore, DO Atlanta Urogynecology Associates, Alpharetta, GA, USA (all authors). ABSTRACT Several studies have reported the incidence and prevalence of retropubic tension-free vaginal mesh tape (TVT) slingrelated complications, but there are no specific current guidelines regarding the surgical management of such complications. Complications requiring sling removal, […]

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]]> Sagarika Sinha, DO, John R. Miklos, MD, Robert D. Moore, DO

Atlanta Urogynecology Associates, Alpharetta, GA, USA (all authors).

ABSTRACT

Several studies have reported the incidence and prevalence of retropubic tension-free vaginal mesh tape (TVT) slingrelated complications, but there are no specific current guidelines regarding the surgical management of such complications. Complications requiring sling removal, such as pain, can be surgically managed by using either a vaginal approach, removing the vaginal portion of the sling up to the pubocervical fascia, and/or a laparoscopic/abdominal approach to the space of Retzius to remove the retropubic portion of the sling. We report a case of a patient with a retropubic TVT sling in whom the removal of the vaginal portion of the sling failed to resolve the patient’s symptoms of pain; therefore, a laparoscopic approach to the retropubic space was performed to extract the remaining limbs of the sling.

Key Words: TVT sling, Mesh complication, vaginal mesh, Laparoscopic, Stress Urinary Incontinence.

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