# Robot‑assisted surgical management of mid‑urethral sling erosion into the bladder using transperitoneal robotic extensive approach for total mesh excision

## TL;DR

This paper describes a new robotic surgical method to safely remove a mid-urethral sling that has eroded into the bladder.

## Contribution

The study introduces the transperitoneal robotic extensive approach for total mesh excision (TREATME) as a novel surgical technique.

## Key findings

- Two successful cases of MUS erosion removal using TREATME were performed without complications.
- The robotic approach allowed complete mesh excision without conversion to open surgery.
- Initial results suggest TREATME is a feasible and safe option for complex MUS complications.

## Abstract

Robot‑assisted surgical management of mid‑urethral sling (MUS) erosion into the bladder represents a novel approach in urological surgery. This study reports the first 2 cases in Poland treated using the transperitoneal robotic extensive approach for total mesh excision (TREATME). Both procedures were performed successfully, with complete mesh removal. No intra‑ or postoperative complications occurred, and conversion to open surgery was not required. These initial findings suggest that TREATME may be a feasible and safe option for managing complex MUS complications, necessitating further evaluation in larger studies.