Total mesh excision via divergent approaches:Two case reports and literature review

Dear Editor,The introduction of mesh procedures to treat stress urinary incontinence(SUI)in women represents a significant milestone breakthrough and currently serves as the primary surgical approach for addressing SUI.Since the FDA's statement on mesh sling complications in 2008,an increasing number of patients have sought total excision of the polypropylene(PP)sling from their bodies.Currently,there are a few reports on PP sling removal through different routes,but a unified and specific surgical technique has not yet been established.The aim of this article is to report the successful techniques and approaches used in two cases involving the total removal of PP meshes resulting from tension-free vaginal tape(TVT)and transobturator tape(TOT)via different approaches.Additionally,we discuss the clinical outcomes and review relevant literature on this topic.