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

Meta Tag

Concept Recurrent Vaginal Apical Prolapse

Concept Laparoscopic Sacrocolpopexy

Concept Bladder Erosion

Concept Sacrocolpopexy Mesh

Concept Retropubic Cystotomy

Keywords

surgical procedure

pelvic pain

mesh repair