The effectiveness of concomitant intravaginal laser treatment in patients undergoing mesh excision due to vaginal exposure or extrusion

Objective: To investigate the efficacy of intravaginal laser therapy applied concurrently with mesh excision for treatment vaginal polypropylene exposure or extrusion, which is most common complication after transobturator tape (TOT), on recurrence incontinence.
 Material and Method: The data 49 patients who underwent due to extrusion in our clinic between January 2009 2020 were retrospectively analyzed. divided into two groups as simultaneous during (EL, n=23) only (EO, n=26). Data long-term stress urinary incontinence (SUI) rates determined compared.
 Results: mean age was 50.4±9.9 years follow-up period 33.3±22.1 months. SUI 1-h pad test significantly lower EL group than EO at 12 th month evaluation (8.7% vs 34.6% p=0.030 respectively). According multivariate regression analysis operation type an independent risk factor (p=0.021). However, there no significant difference terms postoperative quality life questionnaire (I-QOL) scores (p=0.082).
 Conclusion: Concomitant meshexposure secondary TOT surgery provides a advantage preventing SUI.