PFD Week 2016-Robotic Assisted Laparoscopic Excision of Retropubic Mesh

Video Transcription

Video Summary

In this video, a 40-year-old female patient who had previously undergone a TBT sling procedure presents with symptoms such as pelvic pain, recurrent UTI, dyspareunia, dysuria, and incontinence. After diagnostic tests, it is discovered that the patient has bladder stones and exposed intravesical mesh. She undergoes initial surgery, but her symptoms return, leading to the decision for minimally invasive robotic surgery. The video details the robotic-assisted laparoscopic technique used to remove the mesh, with careful inspection for residual mesh and water-tight bladder repair. The patient experiences resolution of her symptoms after the surgery. The video highlights the safety and effectiveness of robotic excision, but notes the potential barriers of cost and access. Good surgical principles should always be followed. The conclusion highlights that robotic-assisted laparoscopic excision is a viable option for carefully selected patients with mid-ureteral mesh issues. No credits were granted in the transcript.

Asset Subtitle

Ekene Enemchukwu, MD

Meta Tag

Category Surgery - Robotic Procedures

Category Complications

Category Urinary Incontinence

Concept Intravesical Mesh

Concept Mesh Excision

Concept Retropubic Mesh

Concept Pelvic Mesh Complication

Concept Cystoscopy

Keywords

female patient

TBT sling procedure

pelvic pain

bladder stones

intravesical mesh

Surgery - Robotic Procedures

Complications

Urinary Incontinence

Intravesical Mesh

Mesh Excision

Retropubic Mesh

Pelvic Mesh Complication

Cystoscopy