Evaluation of endoscopic laser excision of polypropylene mesh/sutures following anti-incontinence procedures.
Identifieur interne : 000344 ( PubMed/Curation ); précédent : 000343; suivant : 000345Evaluation of endoscopic laser excision of polypropylene mesh/sutures following anti-incontinence procedures.
Auteurs : N F Davis [Irlande (pays)] ; L G Smyth ; S K Giri ; H D FloodSource :
- The Journal of urology [ 1527-3792 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Polypropylenes.
- methods : Device Removal.
- surgery : Urinary Incontinence, Stress.
- Aged, Endoscopy, Equipment Failure, Female, Humans, Laser Therapy, Middle Aged, Surgical Mesh, Sutures.
Abstract
We reviewed our experience with and outcome of the largest series to our knowledge of patients who underwent endoscopic laser excision of eroded polypropylene mesh or sutures as a complication of previous anti-incontinence procedures.
DOI: 10.1016/j.juro.2012.07.040
PubMed: 22999703
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pubmed:22999703Le document en format XML
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<author><name sortKey="Davis, N F" sort="Davis, N F" uniqKey="Davis N" first="N F" last="Davis">N F Davis</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.</nlm:affiliation>
<country xml:lang="fr">Irlande (pays)</country>
<wicri:regionArea>Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick</wicri:regionArea>
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<author><name sortKey="Smyth, L G" sort="Smyth, L G" uniqKey="Smyth L" first="L G" last="Smyth">L G Smyth</name>
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<author><name sortKey="Giri, S K" sort="Giri, S K" uniqKey="Giri S" first="S K" last="Giri">S K Giri</name>
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<author><name sortKey="Flood, H D" sort="Flood, H D" uniqKey="Flood H" first="H D" last="Flood">H D Flood</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluation of endoscopic laser excision of polypropylene mesh/sutures following anti-incontinence procedures.</title>
<author><name sortKey="Davis, N F" sort="Davis, N F" uniqKey="Davis N" first="N F" last="Davis">N F Davis</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.</nlm:affiliation>
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<wicri:regionArea>Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick</wicri:regionArea>
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<author><name sortKey="Smyth, L G" sort="Smyth, L G" uniqKey="Smyth L" first="L G" last="Smyth">L G Smyth</name>
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<author><name sortKey="Giri, S K" sort="Giri, S K" uniqKey="Giri S" first="S K" last="Giri">S K Giri</name>
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<author><name sortKey="Flood, H D" sort="Flood, H D" uniqKey="Flood H" first="H D" last="Flood">H D Flood</name>
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<series><title level="j">The Journal of urology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Device Removal (methods)</term>
<term>Endoscopy</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Middle Aged</term>
<term>Polypropylenes</term>
<term>Surgical Mesh</term>
<term>Sutures</term>
<term>Urinary Incontinence, Stress (surgery)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Ablation de dispositif ()</term>
<term>Adulte d'âge moyen</term>
<term>Endoscopie</term>
<term>Femelle</term>
<term>Filet chirurgical</term>
<term>Humains</term>
<term>Incontinence urinaire d'effort ()</term>
<term>Matériaux de suture</term>
<term>Panne d'appareillage</term>
<term>Polypropylènes</term>
<term>Sujet âgé</term>
<term>Thérapie laser</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polypropylenes</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Device Removal</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urinary Incontinence, Stress</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Endoscopy</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Middle Aged</term>
<term>Surgical Mesh</term>
<term>Sutures</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Ablation de dispositif</term>
<term>Adulte d'âge moyen</term>
<term>Endoscopie</term>
<term>Femelle</term>
<term>Filet chirurgical</term>
<term>Humains</term>
<term>Incontinence urinaire d'effort</term>
<term>Matériaux de suture</term>
<term>Panne d'appareillage</term>
<term>Polypropylènes</term>
<term>Sujet âgé</term>
<term>Thérapie laser</term>
</keywords>
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<front><div type="abstract" xml:lang="en">We reviewed our experience with and outcome of the largest series to our knowledge of patients who underwent endoscopic laser excision of eroded polypropylene mesh or sutures as a complication of previous anti-incontinence procedures.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22999703</PMID>
<DateCreated><Year>2012</Year>
<Month>10</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>12</Month>
<Day>31</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-3792</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>188</Volume>
<Issue>5</Issue>
<PubDate><Year>2012</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of urology</Title>
<ISOAbbreviation>J. Urol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Evaluation of endoscopic laser excision of polypropylene mesh/sutures following anti-incontinence procedures.</ArticleTitle>
<Pagination><MedlinePgn>1828-32</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.juro.2012.07.040</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0022-5347(12)04219-X</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We reviewed our experience with and outcome of the largest series to our knowledge of patients who underwent endoscopic laser excision of eroded polypropylene mesh or sutures as a complication of previous anti-incontinence procedures.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 12 female patients underwent endoscopic laser excision of suture/mesh erosions at 1 center during a 10-year period. Primary outcome variables were the requirement of additional endoscopic or open surgery to remove mesh/sutures. Secondary outcome variables were persistence of urinary symptoms, postoperative complications, continence status and requirement of additional anti-incontinence procedures.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean interval from previous surgery to erosion was 59 months (range 7 to 144) and the duration of presenting symptoms ranged from 3 to 84 months (mean 19). Ten patients underwent endoscopic excision of the mesh/suture with the holmium:YAG laser and 2 underwent excision with the thulium laser. Mean operative duration was 19 minutes (range 10 to 25) and followup was 65.5 months (range 6 to 134). Postoperatively 6 patients remain asymptomatic and 2 required a rectus fascial sling for recurrent stress urinary incontinence. Four patients underwent a second endoscopic excision due to minor persistence of erosion. Only 1 patient ultimately required open cystotomy to remove the eroded biomaterial. No intraoperative complications were recorded and all patients are currently asymptomatic.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Endoscopic laser excision is an acceptable first line approach for the management of eroded biomaterials due to its high long-term success rate and minimally invasive nature.</AbstractText>
<CopyrightInformation>Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Davis</LastName>
<ForeName>N F</ForeName>
<Initials>NF</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.</Affiliation>
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<Author ValidYN="Y"><LastName>Smyth</LastName>
<ForeName>L G</ForeName>
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<Author ValidYN="Y"><LastName>Giri</LastName>
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<Author ValidYN="Y"><LastName>Flood</LastName>
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<Language>eng</Language>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Urol. 2012 Nov;188(5):1832; discussion 1833</RefSource>
<PMID Version="1">22999702</PMID>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020878">Device Removal</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013526">Surgical Mesh</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013537">Sutures</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014550">Urinary Incontinence, Stress</DescriptorName>
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