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Updated: Jul 16, 2026
10:19
Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
Prosthetic reinforcements: how to manage bladder injuries?
I Popovic1, P Debodinance, M Cosson
1Pôle de Chirurgie Gynécologique, Hôpital Jeanne de Flandre, Centre Hospitalier Régional Universitaire de Lille, 59 037, Lille, France.
Summary
Bladder injuries during tension-free vaginal mesh (TVM) procedures can be managed with mesh placement after careful repair. This approach is acceptable and avoids major complications in the short term.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Tension-free vaginal mesh (TVM) procedures are common for pelvic organ prolapse.
- Bladder injuries can occur during the dissection phase of TVM procedures.
- Management strategies for intraoperative bladder injuries are crucial.
Purpose of the Study:
- To describe the experience with managing bladder injuries during intervesicovaginal dissection in TVM procedures.
- To evaluate the safety and outcomes of mesh placement after bladder repair.
Main Methods:
- Retrospective review of 704 patients undergoing TVM procedures.
- Analysis of cases with intraoperatively diagnosed bladder injuries.
- Description of surgical repair and mesh placement techniques.
Main Results:
- Five out of 704 patients sustained bladder injuries during dissection.
- All bladder injuries were repaired meticulously.
- Polypropylene mesh was placed in the intervesicovaginal space post-repair.
- No major postoperative complications were observed during short-term follow-up.
Conclusions:
- Bladder injuries are a potential complication of TVM procedures.
- Careful bladder repair followed by intervesicovaginal mesh placement is a safe and acceptable management strategy.
- This approach can prevent major postoperative complications.
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