RESUMEN
The widely used minimally invasive tension-free vaginal tape for stress urinary incontinence has been associated with the complication of intra-vesical tape erosion and unrecognised intra-operative bladder perforation. Although rare, it represents a surgical challenge due to its proximity to the bladder mucosa and also encrustation of the tape. We describe a minimally invasive technique for the effective removal of the encrusted tape.
Asunto(s)
Láseres de Estado Sólido/uso terapéutico , Cabestrillo Suburetral/efectos adversos , Vejiga Urinaria/cirugía , Femenino , Humanos , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Vejiga Urinaria/lesionesRESUMEN
Abstract Despite its increasing use in the management of symptomatic benign prostatic hyperplasia, the long-term complications after potassium-titanyl-phosphate photoselective vaporization of the prostate are poorly reported. We describe a rare complication of this technology-calculi formation in the prostatic urethra. All patients presented with visible hematuria and variable lower urinary tract symptoms up to 5 years after the original surgery. In all cases, the calculi were successfully removed endoscopically. Possible causes for this unusual complication are discussed, and the importance of warning patients about this potential long-term complication are highlighted.
Asunto(s)
Terapia por Láser/efectos adversos , Terapia por Láser/métodos , Láseres de Estado Sólido/uso terapéutico , Complicaciones Posoperatorias/etiología , Próstata/cirugía , Anciano , Anciano de 80 o más Años , Cálculos/diagnóstico por imagen , Cálculos/cirugía , Humanos , Masculino , Próstata/diagnóstico por imagen , Radiografía , Uretra/cirugía , Urotelio/patologíaRESUMEN
Stress urinary incontinence (SUI) affects 10-20% of women in the general population. Surgery for stress incontinence has been performed on women for over a century, but with the advent of new urogynaecological sling procedures for its management, urological surgeons are having to deal with an increasing number of patients presenting with associated complications. With no clarity on the full range of possible complications or certain consensus on their optimal management, the ideal treatment remains a decision for the individual surgeon. In view of this, we felt it of common interest to review the literature for the history of sling procedures, present commonly arising complications, and seek to answer the question in the title.