Endoscopic Transurethral Resection of Urethral Mesh Erosion With the Use of a Pediatric Nasal Speculum

A rare but challenging complication of midurethral slings is erosion of mesh tape through the urethral wall. In this report, we describe two cases in which a pediatric nasal speculum provided exposure for transurethral resection of eroded mesh. Exposure was sufficient for complete mesh resection endoscopically as well as with use of traditional surgical instruments. Since having surgery there has been no recurrence of mesh erosion and the irritative voiding symptoms have resolved. Urethral mesh erosion can be managed from a transurethral approach. Furthermore, use of a pediatric nasal speculum improves visualization and efficiency.