Robotic TOT mesh removal and fascia lata sling placement

El Akri M1, Hascoet J1, Freton L1, Haudebert C1, Richard C1, Peyronnet B1

Research Type


Abstract Category

Female Stress Urinary Incontinence (SUI)

Abstract 306
Surgical Videos - Urogynaecology and Pain
Scientific Podium Video Session 37
Friday 29th September 2023
17:03 - 17:12
Room 104AB
Robotic-assisted genitourinary reconstruction Stress Urinary Incontinence Pain, Pelvic/Perineal
1. CHU de Rennes, France

Mehdi El Akri



The aim of this video is to describe the robotic approach for TOT mesh removal with fascia lata aponevrotic sling placement
This is a 50 years old female patients. She underwent a TOT mesh surgery 5 years ago.
Since, she has been having severe groin pain, and a persistent stress urinary incontinence.
Cystoscopy and physical examination did not reveal any bladder, vagina or urethral mesh erosion.
Physical examination revealed a urethral hypermobility. The patient refused to undergo a new synthetic mesh surgery. We decided to perform a robotic TOT Mesh removal with simultaneous fascia lata sling placement to treat this stress urinary incontinence.
Patient reported immediate groin pain relief and improvement of her stress urinary incontinence. However, she had post voiding residuals between 200 and 300 cc and had to performs CIC for a few days. She was discharged 2 days after surgery.
2 months after surgery, patient reported groin pain relief and no incontinence. She had spontaneous micturition with 200 cc post voiding residuals.
Robotic approach for TOT mesh removal seems to be a safe technique that allows us to have a better view of the mesh and the obturator foramen than the open approach by groin incision.
Funding NONE Clinical Trial No Subjects None

Continence 7S1 (2023) 101023
DOI: 10.1016/j.cont.2023.101023

14/06/2024 19:19:03