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INTRODUCTION AND HYPOTHESIS: The aim of this video is to provide a step-by-step description of our approach to the surgical management of intravesically localized transobturator tape after previous failure of repeated cystoscopic tape resection. METHODS: This video presents a patient with tape erosion to the urinary bladder after repeated cystoscopic tape resection, recurrent stone formation, and repeated lithotripsy, with recurrent urinary tract infections and overactive bladder (OAB) with urgency incontinence. RESULTS: During the laparoscopy procedure tape was identified in the left obturator muscle, cut near the obturator muscle, and dissected up to the bladder wall. Afterward, a vertical 2-cm incision was made in the bladder wall, the stone was removed, and the rest of the tape was dissected from the bladder wall. A two-layer suture of the bladder wall was performed. The postoperative course was uneventful. In follow-up visits 3 and 6 months after surgery the patient was continent with no symptoms of OAB. CONCLUSIONS: Cystoscopic resection of protruded mesh is inadequate in many cases. In such cases the mesh should be removed from the urinary bladder wall completely. Laparoscopy allows minimally invasive complete removal of the tape, combining resection of the extravesical and intravesical parts of the tape.

MeSH
kameny močového měchýře * chirurgie MeSH
laparoskopie * MeSH
lidé MeSH
močový měchýř chirurgie MeSH
odstranění implantátu MeSH
stresová inkontinence moči * chirurgie MeSH
suburetrální pásky * škodlivé účinky MeSH
Check Tag
lidé MeSH
Publikační typ
audiovizuální média MeSH
časopisecké články MeSH

Článek

Androgenní deficit u mužů a jeho léčba testosteronem v praxi
[Androgen deficiency in men and its treatment with testosterone in practice]

Zámečník, Libor, 1970-
Autor Autorita ORCID Urologická klinika VFN a 1. LF UK, Praha Iscare, Praha

Urologie pro praxi. 2020 ; 21 (2) : 72-79.

ISSN 1213-1768
Medvik
Zdroj

Autor v článku podává informaci o diagnostice mužského hypogonadismu a praktické léčbě testosteronem, včetně nejnovějších doporučení k léčbě a sledování pacientů podle Evropské urologické společnosti.

The author provides information on the diagnosis of male hypogonadism and practical testosterone replacement treatment - including the latest guidelines for the treatment and monitoring of patients according to the European Association of Urology.