Mid-urethral slings (MUS) are a commonly used for the treatment of stress urinary incontinence (SUI) in women. Despite high success rates, complications such as chronic pain, erosion, and voiding dysfunction may happen. The laparoscopic robot-assisted
retropubic approach offers a minimally invasive option for excision of retropubic slings while minimizing the risk to surrounding pelvic structures and providing enhanced visualization and precision during the procedure.

This technique aims to evaluate the safety, feasibility, and functional outcomes of laparoscopic robot-assisted retropubic mid-urethral sling excision in a patient presenting with a retropubic MUS-related pain complication. This patient underwent laparoscopic robot-assisted retropubic excision of mid-urethral slings, indicated after a chronic pelvic suprapubic pain.

This patient underwent successful laparoscopic robot-assisted retropubic sling excision. The operative time was 130 minutes and the estimated blood loss was 50 mL. There were no intra nor post operative complications. The patient was discharged on the same day.

Laparoscopic robot-assisted retropubic excision of mid-urethral slings is a safe and effective treatment for patients with MUS-related complications. This approach provides excellent surgical outcomes, reducing patient morbidity and probably enhanced recovery with high rates of symptom resolution and a low complication profile. Further research is warranted to assess long-term outcomes and establish standardized guidelines for managing complex MUS removals.