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. 2025 Mar 21;20(1):118-123.
doi: 10.20452/wiitm.2024.17939. eCollection 2025 Apr 9.

Robot‑assisted surgical management of mid‑urethral sling erosion into the bladder using transperitoneal robotic extensive approach for total mesh excision

Rafał B Drobot  1   2 , Marcin Lipa  1   2 , Jędrzej J Skorupka  2 , Artur A Antoniewicz  1   2
Affiliations

Robot‑assisted surgical management of mid‑urethral sling erosion into the bladder using transperitoneal robotic extensive approach for total mesh excision

Rafał B Drobot et al. Wideochir Inne Tech Maloinwazyjne. .

Abstract

Robot‑assisted surgical management of mid‑urethral sling (MUS) erosion into the bladder represents a novel approach in urological surgery. This study reports the first 2 cases in Poland treated using the transperitoneal robotic extensive approach for total mesh excision (TREATME). Both procedures were performed successfully, with complete mesh removal. No intra‑ or postoperative complications occurred, and conversion to open surgery was not required. These initial findings suggest that TREATME may be a feasible and safe option for managing complex MUS complications, necessitating further evaluation in larger studies.

Keywords: mid‑urethral sling erosion; robot‑assisted surgery; tension‑free vaginal tape excision; transobturator tape excision; urine incontinence surgery complications.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

FIGURE 1
FIGURE 1
Left transobturator tape arm
FIGURE 2
FIGURE 2
Right transobturator tape arm
FIGURE 3
FIGURE 3
Meticulous excision of eroded mesh
FIGURE 4
FIGURE 4
Double‑layer cystorrhaphy with a leak test
See this image and copyright information in PMC

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