Removal of an Eroded Transobturator Tape from the Bladder Using Laser Cystolithotripsy and Cystoscopic Resection

This case presentation describes a unique minimally invasive technique of treating transobturator tape erosion into the urinary bladder with calculus growth. A 42-year-old woman was admitted for recurrent urinary tract infections, 9 months after a transobturator tape procedure. Pelvic sonography, followed by cystourethroscopy, demonstrated an eroded tape in the bladder with heavy calculus growth and diffuse mucosal inflammation. The calculus was fragmented by using laser cystolithotripsy, and the tape was excised and removed by using cystoscopic resection. Intravesical tape erosion with calculus growth can complicate transobturator tape procedures, and is amenable to transurethral laser cystolithotripsy and cystoscopic resection.