PFD Week 2016-Use of A Pediatric Nasal Speculum to Facilitate the Excision Of Urethral Mesh Erosion

Use of A Pediatric Nasal Speculum to Facilitate the Excision Of Urethral Mesh Erosion

Video Transcription

Video Summary

This video showcases a unique and effective approach to managing urethral mesh erosion through transurethral mesh excision. The technique involves using a pediatric nasal speculum, a scissoscope, and scissoscopic graspers and scissors. By gently inserting the speculum into the urethra and conducting a thorough inspection, the mesh fibers are carefully transected. The speculum aids in visualizing and guiding the placement of the scissoscopic instruments, ensuring comprehensive removal of perforated fibers. Care is taken during resection to avoid compromising the urethra's mucosa and muscularis. This technique has been successfully employed on three patients, who have reported resolution of symptoms and maintained continence. The use of the nasal speculum eliminates the need for a urethral incision, preventing further complications with urethral sphincter development. (No credits were mentioned.)

Asset Subtitle

Leon Plowright, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Surgery - Novel Procedures

Category Complications

Keywords

urethral mesh erosion

transurethral mesh excision

pediatric nasal speculum

scissoscope

scissoscopic graspers and scissors