A new treatment of an intravesical eroded mesh after TVM: 3 mm trocar-assisted cystoscopic approach.

Introduction and Hypothesis: To present a novel technique to remove intravesical eroded mesh through a 3-mm trocar-assisted cystoscopy.
Methods: First, a 3-mm trocar was inserted into the bladder under ultrasound guidance after the bladder had been infused with 600 ml normal saline. Second, we inserted the forceps through the trocar into the bladder and pulled the mesh through the 3-mm trocar. Last, cystoscopic scissors were used to remove the eroded mesh completely.
Results: The patient was managed adequately in the inpatient department. The urethral catheter was left in situ for 3 days, and the patient was discharged within 5 days.
Conclusion: Surgery under 3-mm trocar-assisted cystoscopy offers the advantage of lower risk of morbidity and complications compared to other surgical techniques. It is an effective and feasible procedure for treatment of synthetic mesh erosion into the bladder after TVM surgery.
(© 2022. The International Urogynecological Association.)