Introduction: Erosion of transvaginal stress urinary incontinence and prolapse mesh into the urinary tract is a serious complication. Endoscopic partial mesh removal is an option for those who desire a less morbid procedure than full mesh removal, with shorter operating room time, less blood loss, and faster recovery time. However, the long-term quality-of-life (QoL) and functional outcomes for this approach are poorly studied.

Methods: Patient-reported QoL outcomes of women who underwent partial mesh removal via transurethral laser excision or bipolar transurethral resection from April 2013 to August 2021 were collected via telephone survey using a composite questionnaire (Urinary Distress Inventory [UDI]-6, EQ-5D-5L, International Consultation of Incontinence Questionnaire - Satisfaction [ICIQ-S]) and questions regarding sexual function.

Results: Twenty-seven women underwent transurethral mesh removal surgery. Median age was 61 (45–87). Mesh erosion into the urethra or bladder caused pain (43%), calcification (41%), recurrent urinary tract infections (UTIs) (36%), urinary urgency (23%), or voiding difficulties (9%). During 33 endoscopic surgeries for mesh excision, 67% had a concurrent procedure performed under the same anesthetic (Table 1). Median hospital postoperative stay was one day (0–4). Thirty-day complication rate was 10% (all were Clavien-Dindo 1). Long-term outcomes from 20 patients (mean followup of 33 months) showed that mesh removal was rated successful by 75%, 85% were at least moderately satisfied with their surgery, 85% would recommend the surgery to others, and 95% would have the surgery again if in the same situation.

Conclusions: Transurethral endoscopic surgery for removal of eroded transvaginal mesh is associated with high patient satisfaction and low morbidity in appropriately selected patients.