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How to Deal with Bladder Stones Associated with Exposed Intravesical Mesh
Purim Ruanphoo1, Jimmy Nomura1, Tokumasa Hayashi1
1Department of Urogynecology, Kameda Medical Center, Chiba, Japan.
Gynecology and Minimally Invasive Therapy
|August 11, 2025
Summary
Transvaginal mesh (TVM) exposure in the bladder can cause stones. Laparoscopic resection is recommended over transurethral resection due to lower recurrence rates for bladder stone management.
Area of Science:
- Urology
- Gynecologic Surgery
Background:
- Transvaginal mesh (TVM) surgery for pelvic organ prolapse can lead to mesh erosion into the bladder.
- Intravesical mesh exposure is a known complication that can result in urinary stone formation.
Purpose of the Study:
- To evaluate and compare treatment modalities for bladder stones associated with exposed intravesical mesh.
- To determine the optimal management strategy for intravesical mesh exposure.
Main Methods:
- Retrospective case series of seven patients with bladder stones and exposed intravesical mesh.
- Treatments included transurethral resection and laparoscopic resection of exposed mesh.
Main Results:
- Two patients managed with transurethral resection experienced one recurrence.
- Five patients managed with laparoscopic resection experienced one recurrence.
- Two recurrent cases successfully treated with repeat laparoscopic resection showed no further recurrence.
Conclusions:
- Laparoscopic resection appears to be a more effective treatment for intravesical mesh exposure with a lower recurrence rate compared to transurethral resection.
- Transurethral resection may be considered as an initial option, but recurrence risk must be carefully discussed with patients.
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