Single-port transvesical excision of foreign body in the bladder.
OBJECTIVE
To present a novel technique to remove intravesical polypropylene mesh through a single laparoscopic port placed directly into the bladder.


METHODS
A Triport single-site access system was placed transvesically and carbon dioxide was used for insufflation of the bladder. A combination of straight and articulating laparoscopic instruments was used to dissect the mesh away from the bladder mucosa and transect each end for complete removal of foreign bodies. Mucosal reapproximation was performed on the latter case.


RESULTS
Two patients were managed adequately in the outpatient setting. No suprapubic catheters were necessary, and patients were discharged within 23 hours.


CONCLUSIONS
Removal of foreign bodies of the bladder through a single transvesical laparoscopic port is technically feasible. This procedure offers excellent visualization of mesh material, especially near the bladder neck where these foreign bodies often reside. This approach offers patients a minimally invasive approach through a single small incision.
Ingber
Michael S
MS
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA. ingberm@ccf.org
Stein
Robert J
RJ
Rackley
Raymond R
RR
Firoozi
Farzeen
F
Irwin
Brian H
BH
Kaouk
Jihad H
JH
Desai
Mihir M
MM
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D013526:Surgical Mesh; D001743:Urinary Bladder / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods