(Video Poster 31) Use High-Definition Exoscope for Vaginal Excision of Mesh Eroded into Bladder

Objectives: Mesh erosion is a known risk of mesh placement for management of pelvic organ prolapse and stress urinary incontinence, with an incidence up to 23%. This video aims to demonstrate the benefits and safety of a vaginal route for excision of mesh erosion into the bladder.
Additionally, vaginal surgery is known for difficult visualization due to space limitations, which can be a barrier for learners. This video also aims to describe the benefits of a high definition exoscope in vaginal surgery for both surgeons and learners.

Methods: The setup and surgical removal of mesh eroded into bladder was captured using a high definition exoscope.

Clinical Relevance: This video describes and demonstrates the safety of a vaginal route for excision of mesh eroded into the bladder. Simultaneously, it shows use of a high definition exposcope, demonstrating the opportunity for increased surgical site visualization, improved learning, and video recording that works seamlessly with other operative equipment. This was performed with the goal of educating and inspiring other surgeons to consider vaginal routes for bladder mesh excisions and to utilize a high definition exoscope during surgery.