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.

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