Background: As new variations of operations are performed, complications must be recognized and reported. Erosion of staples into the bladder following mesh and staple laparoscopic colposuspension is a complication that must be anticipated, recognized and managed by the laparoscopic surgeon.
Case: A woman presented, four years after mesh and staple colposuspension for stress urinary incontinence, with bladder pain and hematuria. A staple was seen under the urothelium in the bladder dome and was removed cystoscopically, with resolution of symptoms.
Conclusion: This is an avoidable complication of an increasingly performed procedure. Correction can be effected cystoscopically if the staple is visible.
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