Intravesical holmium laser fragmentation and removal of detached resectoscope sheath tip

Purpose: We describe a case in which the tip of a resectoscope sheath broke off in the bladder during transurethral resection of the prostate. Materials and Methods: 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. Results: This procedure caused minimal trauma. Conclusions: The procedure represents a novel and safe approach to the intravesical fragmentation and subsequent removal of an iatrogenic foreign body from the bladder.