Vaginal and laparoscopic sub-urethral sling explantation.

ABSTRACT:

Introduction and hypothesis

The objective was to describe the different laparoscopic and vaginal steps of sub-urethral infected mesh explantation as well as an unexpected and unusual complication: a sub-mucosal calcification on the sub-urethral segment of the sling that was not infiltrating the urethra.

Methods

This was carried out at our University Teaching Hospital of Strasbourg.

Results

We show the complete removal of an infected retropubic sling in a patient who had already undergone three previous surgeries without resolution of symptoms. This is a difficult case requiring a laparoscopic approach of the space of Retzius, which has been less familiar to surgeons since the advent of the midurethral sling. We show how to approach this space in an inflammatory enviro

SUBMITTER: Collin-Bund V 

PROVIDER: S-EPMC10238289 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature