PFD Week 2018-Robotic Repair of Recurrent Intravesical Mesh Erosion following Sacrocolpopexy with Omental Interposition Graft

Robotic Repair of Recurrent Intravesical Mesh Erosion following Sacrocolpopexy with Omental Interposition Graft

Video Transcription

Video Summary

The video summarizes a case study involving a 72-year-old woman who presented with gross hematuria and a history of urinary issues. She had previous surgeries for a hysterectomy, anterior, and posterior repair. In 2010, she underwent a robotic sacral colopexy, which led to continuous urinary leakage. Subsequent procedures were done to repair a vesicovaginal fistula and excise mesh with calcifications above the bladder. The patient had a papillary lesion consistent with urethelial carcinoma, which was resected along with the mesh erosion in 2016. A fomentel interposition graft was used. The procedure was successful, and follow-up tests showed no leaks. The video concludes that robotic excision and fomentel interposition can effectively treat recurrent mesh erosion following sacral colopexy, reducing the risk of further complications. No credits were mentioned.

Asset Subtitle

David Glazier, MD

Meta Tag

Category Surgery - Robotic Procedures

Category Complications

Category Urinary Incontinence

Keywords

case study

mesh erosion

robotic excision

fomentel interposition

reducing complications