title: Single-port transvesical excision of foreign body in the bladder.
abstract: 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.
authors.affiliation: Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA. ingberm@ccf.org
authors.forename: Michael S
authors.initials: MS
authors.lastname: Ingber
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Stein
authors.forename: Raymond R
authors.initials: RR
authors.lastname: Rackley
authors.forename: Farzeen
authors.initials: F
authors.lastname: Firoozi
authors.forename: Brian H
authors.initials: BH
authors.lastname: Irwin
authors.forename: Jihad H
authors.initials: JH
authors.lastname: Kaouk
authors.forename: Mihir M
authors.initials: MM
authors.lastname: Desai
mesh_terms: 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