{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:15:42Z","timestamp":1784938542310,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study's aim is to evaluate the long\u2010term quality of life and functional outcomes following cystoscopic excision of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) mesh extruded into the urinary tract in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>A retrospective chart review was performed of all cases of cystoscopic removal of extruded mesh at our high\u2010volume tertiary care centre between April 2013 and August 2021. Postoperative patient\u2010reported outcomes were collected via questionnaires: Urogenital Distress Inventory Short Form (UDI\u20106), EQ\u20105D\u20105L Visual analogue scale, ICIQ\u2010Satisfaction (ICIQ\u2010S) and additional questions regarding postoperative sexual function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 27 women with a median age of 61\u2009years (45\u201387) underwent cystoscopic mesh removal surgery using either Ho\u2010YAG laser (56%) or bipolar loop resection (44%). The most common presentation of mesh extrusion was recurrent urinary tract infections (67%). Other presenting complaints were pain (41%), urinary urgency \u00b1 incontinence (41%) and voiding difficulties (18%). Long\u2010term follow\u2010up outcomes from 20 patients (median follow\u2010up: 24\u2009months) showed that mesh removal was rated successful by 80%, and 100% would choose to have the surgery again if in the same situation. Recurrent SUI was reported by 45% of respondents, and urinary urge incontinence was found in 50%. For patients who answered the sexual function questions, 50% reported improved sexual function postmesh removal (6\/12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cystoscopic removal of extruded female SUI and POP mesh is associated with high patient satisfaction and low morbidity in appropriately selected patients at 2\u2010year median follow\u2010up. A patient\u2010centred shared decision\u2010making process is essential in counselling patients regarding options and expected outcomes following mesh removal surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.254","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T21:41:20Z","timestamp":1684878080000},"page":"543-548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cystoscopic removal of transvaginal mesh: Long\u2010term outcomes"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8174-8309","authenticated-orcid":false,"given":"Katherine","family":"Anderson","sequence":"first","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0212-2840","authenticated-orcid":false,"given":"Marie\u2010Aim\u00e9e","family":"Perrouin\u2010Verbe","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Bridgeman\u2010Rutledge","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Skews","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hashim","family":"Hashim","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"},{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000433"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20851"},{"key":"e_1_2_8_4_1","unstructured":"NICE Decision Aid. Patient decision aid Options for women referred to specialist centres Treating complications from mesh used for stress urinary incontinence [Internet]. National institute for health and care excellence.2021[cited 2022 Nov 6]. p. 1\u201312. Available from:https:\/\/www.nice.org.uk\/guidance\/"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1476-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","unstructured":"NICE.Urinary incontinence and pelvic organ prolapse in women: management|Guidance|NICE [Internet]. National institute for health and care excellence: Guideline. 2019 [cited2022Nov 6]. Available from:https:\/\/www.nice.org.uk\/guidance\/ng123\/chapter\/recommendations#mid-urethral-mesh-sling-procedures","DOI":"10.1111\/bju.14763"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","unstructured":"PietropaoloA SomaniBK.Endoscopic Management of Bladder Mesh Erosion After Previous Incontinence Surgery.https:\/\/home.liebertpub.com\/vid[Internet].2019Dec 4 [cited 2022 Nov 6];33(6). Available from:https:\/\/doi.org\/10.1089\/vid.2019.0056","DOI":"10.1089\/vid.2019.0056"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04248-x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04087-5"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.07.040"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12226"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.08.001"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-021-01721-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-11821-w"},{"issue":"6","key":"e_1_2_8_15_1","article-title":"Endoscopic management of intraurethral mesh extrusion with the holmium: YAG laser is an acceptable treatment option in selected patients","volume":"41","author":"Allagany F","year":"2022","journal-title":"NeurourolUrodyn"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000417"},{"key":"e_1_2_8_17_1","unstructured":"CumberlegeJ.First Do No Harm The report of the Independent Medicines and Medical Devices Safety Review.2020[cited 2022 Nov 6]; Available from:https:\/\/www.gov.uk\/official-documents"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04923-7"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T20:52:03Z","timestamp":1759956723000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,23]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1002\/bco2.254"],"URL":"https:\/\/doi.org\/10.1002\/bco2.254","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,23]]},"assertion":[{"value":"2023-03-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}