AUGS/IUGA Scientific Meeting 2019-A Laparoscopic Technique for Total Removal of Mid-urethal Polypropylene Sling for Treatment of Urethral Erosions and Bladder Pain: A Case Series of Six

A Laparoscopic Technique for Total Removal of Mid-urethal Polypropylene Sling for Treatment of Urethral Erosions and Bladder Pain: A Case Series of Six

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Video Transcription

Video Summary

In this video, a laparoscopic technique for the complete removal of mid-urethral polypropylene slings causing urethral erosion is demonstrated. It involves careful preoperative counseling, placement of ureteric stents, and instillation of saline to delineate the bladder. The procedure includes opening the retropubic space, separating the bladder and urethra from the pubic symphysis, and excising the mesh carefully to avoid trauma. The eroded mesh is removed in one piece using various instruments. The urethra is repaired with sutures. The technique has been performed on six patients with no complications or recurrence of erosion. It is recommended for women with urethral erosion and bladder pain symptoms. No specific credits are mentioned in the transcript.

Asset Caption

Emily Carter, MBChB, MRes, MRCOG

Keywords

laparoscopic technique

mid-urethral polypropylene slings

urethral erosion

retropubic space

mesh removal