title: Intravesical holmium laser fragmentation and removal of detached resectoscope sheath tip.
abstract: OBJECTIVE
  We describe a case in which the tip of a resectoscope sheath broke off in the bladder during transurethral resection of the prostate.
  
  
  METHODS
  A holmium laser was used to fragment a detached ceramic 26Fr resectoscope sheath tip, which was dislodged into the bladder during transurethral resection of the prostate. The fragments were then retrieved using grasping forceps.
  
  
  RESULTS
  This procedure caused minimal trauma.
  
  
  CONCLUSIONS
  The procedure represents a novel and safe approach to the intravesical fragmentation and subsequent removal of an iatrogenic foreign body from the bladder.
authors.affiliation: Section of Endourology, Laparoscopy and Stone Disease, Department of Urology, Northwestern University Medical School, Chicago, Illinois 60611-3008, USA.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Habermacher
authors.forename: Robert B
authors.initials: RB
authors.lastname: Nadler
mesh_terms: D000368:Aged; D020878:Device Removal; D004868:Equipment Failure; D005547:Foreign Bodies; D006695:Holmium; D006801:Humans; D053685:Laser Therapy; D008297:Male; D011470:Prostatic Hyperplasia / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000009:adverse effects / Q000295:instrumentation*
chemical_list: D006695:Holmium