Turan Özdemir, Ceyhun Özyurt, Fuat Kızılay, Adnan Şimşir

Mesanede taşlaşmış transobturator bant meşi: Olgu sunumu

Transobturator bant (TOB) tekniği, Stres Üriner İnkontinans (SÜİ) tedavisinde en sık uygulanan tekniklerden birisidir. Bu tekniğin uzun dönemde en sık görülen komplikasyonları ağrı ve disparonidir. Mesane perforasyonu, TOB yönteminde sık karşılaşılan bir komplikasyon değildir, ancak olduğu zaman katastrofik bir komplikasyondur. Bu nedenle bu teknikte rutin sistoskopi yapılmalıdır. Bu yazıda, şiddetli kasık ağrısı olan ve mesanesinde taşlaşmış askı materyali saptanan bir kadın hasta sunuldu. Hasta, açık sistolitotomi ve meş eksizyonu ile tedavi edildi. Anahtar Sözcükler: Midüretral askı, stres üriner inkontinans, gerilimsiz vajinal bant, transobturator bant.

Lithified transobturator tape mesh in the bladder: Case report

Transobturator tape (TOT) technique is one of the most commonly used techniques in Stress Urinary Incontinence(SUI) treatment. The most common complications of this technique in the long term are pain and dyspareunia.Bladder perforation is not a common complication of the TOT technique but, regardless, it is a catastrophiccomplication, therefore, routine cystoscopy should be done in this technique. In this report, we present a woman whopresented with severe groin pain and was diagnosed with lithified sling material in her bladder. The patient wasmanaged with open cystolithotomy and mesh excision.

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1. Jonsson Funk M, Levin PJ, Wu JM. Trends in the surgical management of stress urinary incontinence. Obstet Gynecol 2012;119(4):845-51.
2. Hilton P. Commentary: Long‐term follow‐up studies in pelvic floor dysfunction: the Holy Grail or a realistic aim? BJOG 2008;115(2):135-43.
3. Lee J, Dwyer PL. Age-related trends in female stress urinary incontinence surgery in Australia - Medicare data for 1994-2009. Aust N Z J Obstet Gynaecol 2010;50(6):543-9.
4. Labrie J, Berghmans BL, Fischer K, et al. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med 2013;369(12):1124-33.
5. Delorme E. Transobturator urethral suspension: Mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11(6):1306-13.
6. Ku JH, Oh JG, Shin JW, Kim SW, Paick JS. Outcome of mid‐urethral sling procedures in Korean women with stress urinary incontinence according to body mass index. Int J Urol 2006;13(4):379-84.
7. Mellier G, Benayed B, Bretones S, Pasquier J. Suburethral tape via the obturator route: Is the TOT a simplification of the TVT? Int Urogynecol J Pelvic Floor Dysfunct 2004;15(4):227-32.
8. Osório L, Carvalho FL, Branco F, Cavadas V, Autorino R, Soares J. Endoscopic removal of an intravesical calcified sling using pneumatic lithotripsy and cystoscopic resection. Urol Int 2011;87(4):489-91.
9. Lucas MG, Bosch RJ, Burkhard FC, et al. EAU guidelines on surgical treatment of urinary incontinence. Eur Urol 2012;62(6):1118-29.
10. Dokmeci F, Yuce T, Cetinkaya SE. Vesico-cutaneous fistula: unusual complication after transobturator mid-urethral sling. Int Urogynecol J Pelvic Floor Dysfunct 2014;25(10):1437-9.