Intravesical holmium laser fragmentation and removal of detached resectoscope sheath tip.

Abstract

We describe a case in which the tip of a resectoscope sheath broke off in the bladder during transurethral resection of the prostate. A holmium laser was used to fragment a detached ceramic 26Fr resectoscope sheath tip, which was dislodged into the bladder during transurethral resection of the prostate. The fragments were then retrieved using grasping forceps. This procedure caused minimal trauma. The procedure represents a novel and safe approach to the intravesical fragmentation and subsequent removal of an iatrogenic foreign body from the bladder.