Sacrocolpopexy for pelvic organ prolapse expose to some complications inherent to mesh implantation. 
Symptoms of mesh erosion into the bladder principally include recurrent urinary tract infection, painful voiding, frequency and/or hematuria. 
The placement of a retropubic sling can lead to voiding dysfunction  
The robotic approach may facilitate mesh excision when mesh related complications occur.

We present the case of a 69 year-old female, with recurrent febrile urinary tract infections and bilateral lower back pain associated with macroscopic hematuria resulting from a bladder erosion of a sacrocolpopexy mesh implanted in 2012 and a retropubic sling causing chronic urinary retention with bladder outlet obstruction demonstrated on urodynamics 
The aim of this video was to describe the procedure of robot assisted transvesical explantation of a sacrocolpopexy mesh and TVT sling arms removal.

A one-piece explantation of the whole sacrocolpopexy mesh and the removal of the retropubic part of the TVT sling arms has been performed robotically. The operative time was 180 minutes. 
The procedure began with a median cystotomy extended down to the retro-trigonal erosion zone. 
The dissection between bladder and vagina helped to release the mesh from the vaginal and bladder walls, and was carried on following the mesh in its passage through the pars flaccida until its fixation to the sacral promontory. The mesh was therefore excised in totally to prevent erosion recurrence  
After having placed 2 double J stents, the bladder was sutured by 2 vertical V-lock running sutures. 
The Retzius space was then opened and the arms of the sling were dissected until the endopelvic fascia could be clearly identified on both sides of the bladder neck. 
There was no peri operative complication. The patient was discharged two days after surgery but has been rehospitalized for pyelonephritis ten days after the procedure for 3 days (Clavien 2).

Robot assisted ltransvesical explantation of a sacrocolpopexy mesh is a feasible procedure and could decrease the perioperative morbidity compared to laparotomy. The opening of the bladder secures the procedure allowing proper vizualisation  ensuring complete mesh excision to prevent erosion recurrence