PFD Week 2016-Laparoscopic Sacrocolpopexy With Excision of Intravesical Mesh Erosion

Laparoscopic Sacrocolpopexy With Excision of Intravesical Mesh Erosion

Video Transcription

Video Summary

This video showcases a surgical procedure for a patient who had pelvic pain and recurrent prolapse. The patient had a previous mesh repair, but experienced a gap failure with vaginal wall prolapse. Laparoscopic examination revealed adhesions, which were removed before performing a sacrocopalpexy. The mesh was then affixed to the anterior and posterior vaginal walls using sutures. The video also demonstrates the repair of an intravescal mesh erosion using a cystotomy approach. The bladder wall was re-approximated and the cystotomy closed with sutures. Postoperative assessments showed successful ureteral patency and a well-repaired bladder. A Foley catheter was kept in place for seven days.<br /><br />Video credits are not mentioned in the transcript.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Keywords

surgical procedure

pelvic pain

mesh repair

vaginal wall prolapse

laparoscopic examination