Tratamento Endoscópico Combinado de Erosªo Vesical de Fita Suburetral

O recurso a suburetrais sintØticos de polipropileno para correcÁªo de Inconti- nŒncia UrinÆria de EsforÁo pode originar complicaÁies específicas como a erosªo ure- tral ou vesical. Apesar de extremamente raras (6%) o seu tratamento implica a remoÁªo da fita por abordagem retropœbica com cistotomia, ou por via endoscÛpica. Descre- vemos uma tØcnica endoscÛpica combinada alternativa, transuretral e retropœbica, realizada em trŒs casos de erosªo vesical da fita de TVT e formaÁªo de litíase. The use of synthetic polypropylene suburethral slings in the treatment of Stress Uri- nary Incontinence can induce specific complications, such as urethral or vesical ero- sions. Although extremely rare (6%), their treatment involves the sling removal by retropubic approach with cystostomy or by endoscopic approach. We describe an alter- native combined endoscopic technique, with transurethral and retropubic approach, performed in three cases of vesical erosion of TVT sling allied to the formation of cal- culus. slings