{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:43:52Z","timestamp":1783975432886,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Extrusion of transvaginal mesh into the urethra is a rare but potentially serious complication. Our objective is to evaluate the efficacy and long\u2010term outcomes of women who underwent an endoscopic laser procedure to treat intraurethral mesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective chart review identified women who underwent an endoscopic Holmium:YAG laser procedure to treat intraurethral mesh between September 2011\u2010October 2021. Information about the procedure, symptoms, and level of incontinence was gathered from the medical records. Primary outcomes were the need for further procedures, and the Urinary Distress Index\u20106 score at last follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified a total of 29 women; mesh sling procedure included tension\u2010free vaginal sling (19), transobturator sling (6), or other transvaginal mesh sling (4). Presentation of intraurethral mesh was a median of 6 (interquartile range\u00a0[IQR]: 1\u20137) years after placement. After the endoscopic procedure, 18\/29 (62%) women had no visible urinary mesh and complete resolution of their presenting symptoms. Retreatment was necessary in 3\/29 women, and 6\/29 (21%) reported new or worsening stress incontinence. The UDI\u20106 was completed by all patients at a median of 3.7 (IQR: 2.0\u20135.8) years after their endoscopic procedure. The median score was 22 (IQR: 11\u201344), and 18\/29 (62%) women had scores in the asymptomatic range. UDI\u20106 scores were similar for the six women who had further mesh procedures and the ones who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoscopic laser treatment of an eroded transvaginal mesh sling is an acceptable treatment with minimal morbidity and satisfactory UDI\u20106 scores after a median follow\u2010up of 3.7 years.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24999","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T13:36:15Z","timestamp":1655904975000},"page":"1511-1516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic management of intraurethral mesh extrusion with the holmium:YAG laser is an acceptable treatment option in selected patients"],"prefix":"10.1002","volume":"41","author":[{"given":"Feras","family":"Allagany","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snir","family":"Dekalo","sequence":"additional","affiliation":[{"name":"Department of Surgery and Epidemiology and Biostatistics (Urologist) Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-558X","authenticated-orcid":false,"given":"Blayne","family":"Welk","sequence":"additional","affiliation":[{"name":"Department of Surgery and Epidemiology and Biostatistics (Urologist) Western University London Ontario 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