Taneja Rajesh, Singh Dig Vijay
PSRI Hospital for Liver Renal and Digestive Diseases, Press Enclave Road, New Delhi, India.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Aug;20(8):999-1001. doi: 10.1007/s00192-009-0810-4. Epub 2009 Feb 13.
A case of vesical calculus is being presented as a complication of TVT procedure done for severe stress incontinence in an elderly lady. The patient, who presented with obstructive and irritative lower urinary tract symptoms, needed an indwelling catheter. Non-enhanced CT scan of abdomen confirmed an intraluminal calcific density in the anterior wall of urinary bladder just left of midline. On cystoscopy, a blue-colored polypropylene mesh of the TVT was visible at the ends of this calculus, holding it to the anterior vesical wall. Holmium laser was used to disintegrate the ends of the mesh deep in the submucosa of the urinary bladder. To our knowledge, this is a unique case of calculus forming near the dome of bladder over a TVT mesh presenting 3 years post-operatively and treated with holmium laser.
本文报告一例膀胱结石病例，该结石是一名老年女性因严重压力性尿失禁接受经阴道无张力尿道中段吊带术（TVT）后出现的并发症。该患者表现为下尿路梗阻和刺激症状，需要留置导尿管。腹部非增强CT扫描证实膀胱前壁中线左侧腔内有钙化密度影。膀胱镜检查时，在结石两端可见TVT的蓝色聚丙烯网片，将结石固定于膀胱前壁。使用钬激光将网片末端在膀胱黏膜下层深部粉碎。据我们所知，这是一例术后3年在TVT网片上方膀胱穹窿附近形成结石并采用钬激光治疗的独特病例。
