Att ta bort TVT-slynga belägen i urinblåsan. Endoskopi i enklare fall, laparoskopi med robot i svårare
Engelsk titel: Removal of TVT sling from urinary bladder. Endoscopy in simpler cases, robot-assisted laparoscopy in more complicated cases
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Författare:
Teleman, Pia
;
Persson, Jan
Email: pia.teleman@med.lu.se
Språk: Swe
Antal referenser: 12
Dokumenttyp:
Fallbeskrivning
UI-nummer: 11101108
Sammanfattning
There are yearly 4-5000 surgical incontinence procedures performed in Sweden mainly as tension free vaginal tape operations. In 3 % a bladder perforation is made, mainly when retropubic technique is being used. It is unknown how many bladder perforations that remain unnoticed during surgery and also how many of these patients are diagnosed due to symptoms postoperatively. Symptoms due to intravesical part of sling can be recurring urinary tract infections, dysuria, hematuria, pelvic pain, urgency and stone formation. If a patient who has undergone incontinence surgery present any of these symptoms, she should have a cystoscopy with an at least 70 degree cystoscope, eevn if she has had surgery several years before. The intravesical sling can be excised via cystotomy, transurethral resection, laser excision or suprapubically assisted operative cystoscopy. If cystotomy is necessary, robotassisted laparoscopic surgery is a versatile way to optimal anatomic access with minimal invasive technique.