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Rare complication of needleless mini-sling procedure: Case report
Mustafa Karalar1, Ibrahim Keles1, Serdar Unlu2
1Department of Urology, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Summary
Bladder stones can form after a mini-sling procedure for incontinence. This case study shows holmium laser removal of stones caused by mesh perforation, highlighting effective endoscopic treatment.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Stress urinary incontinence is commonly treated with the minimally invasive mini-sling procedure.
- Bladder perforation and subsequent stone formation over the mesh are rare complications.
Purpose of the Study:
- To report a case of bladder calculi formation over mini-sling mesh.
- To describe the successful endoscopic management of this complication.
Main Methods:
- A patient developed irritative and obstructive urinary symptoms post-mini-sling procedure.
- Cystoscopy confirmed bladder perforation with mesh exposure and stone formation.
- Holmium laser lithotripsy was used for stone removal via an endoscopic approach.
Main Results:
- Bladder calculi were successfully removed using holmium laser.
- The endoscopic approach proved effective for managing this rare complication.
Conclusions:
- While uncommon, bladder perforation and stone formation can occur after mini-sling placement.
- Cystoscopy is crucial for diagnosing bladder perforation post-sling.
- Endoscopic holmium laser treatment is an effective management strategy for bladder stones associated with mesh slings.