The mini-sling procedure is a widely used, minimally invasive treatment for stress urinary incontinence. While bladder perforation and stone formation over the mesh is not an expected complication of the mini-sling procedure, in this case, we report on the management of bladder calculi formed over the mesh, which was passed through the bladder while applying the mini-sling procedure, and was eventually removed using holmium laser. Performing cystoscopy in patients with irritative and obstructive symptoms after the sling procedure will help confirm bladder perforation, and an endoscopic approach using holmium laser is an effective treatment.
Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2017 Mar 16 [Epub]
Mustafa Karalar, Ibrahim Keles, Serdar Unlu, Hasmet Sarici, Mesut Kose, Cemil Ay
Department of Urology, Afyon Kocatepe University, Afyonkarahisar, Turkey., Department of Gynecology, Afyon Kocatepe University, Afyonkarahisar, Turkey.