PFD Week 2016-Transurethral Management of Mesh Extrusion In The Bladder

Transurethral Management of Mesh Extrusion In The Bladder

Video Transcription

Video Summary

In this video, a novel minimally invasive trans-urethral approach to treat mesh extrusion in the bladder is discussed. Complications from mid-urethral sling procedures, such as mesh extrusion, can occur in a small percentage of cases. The video follows a 64-year-old patient who presented with hematuria and urinary urgency, four years after undergoing a mid-urethral sling procedure. The patient undergoes a CT urogram which shows a calcification in the bladder, and an in-office cystoscopy confirms the presence of intravesical calcification. A cystoscopic approach is chosen for removal of the mesh due to the patient's comorbidities and anticoagulation requirements. A holmium laser is used to debilitate the mesh and it is easily removed with a cystoscopic grasper. The patient's symptoms improve after the procedure. The video highlights different methods for removing intravesical mesh and concludes that the endoscopic removal using a holmium laser is a safe and effective approach.

Asset Subtitle

Omar Duenas, MD

Keywords

minimally invasive trans-urethral approach

mesh extrusion

mid-urethral sling procedures

bladder complications

endoscopic removal