AUGS/IUGA Scientific Meeting 2019-Transurethral Excision with Holmium Laser for the Management of Intravesical Mesh

Transurethral Excision with Holmium Laser for the Management of Intravesical Mesh

Video Transcription

Video Summary

In this video, a new endoscopic approach using a holmium laser is demonstrated for the excision of intravesical mesh with adherent calculi following a mini sling procedure. The patient in the case study is a 65-year-old woman with a history of stress urinary incontinence. Office cystoscopy revealed a calcified sling pledget with mesh near the bladder base. The recommended approach involved transurethral excision of the mesh using a holmium laser and a combined transvaginal approach. The video shows the transurethral and transvaginal portions of the procedure, including fragmentation of the stone, excision of the mesh, and repair of the cystotomy. The patient had no complications and reported improvement in symptoms. Holmium laser is an effective and minimally invasive technique for mesh excision.

Asset Caption

Danny Mounir, MD

Keywords

endoscopic approach

holmium laser

intravesical mesh

calculi

mini sling procedure