<![CDATA[TVT is a simple and less-invasive variation of the suburethral sling with higher success rates1. It has beenrapidly gaining popularity worldwide but it has also lead to increasing number of patients presenting withassociated complications. Bladder erosion through the bladder wall occuring predominantly within the first2 years the placement of TVT is producing tension or in the close proximity of the bladder..Formation of acalculus in the urinary bladder secondary to an intravesical mesh erosion is relatively infrequent rare anddelayed complication.Owing to the scarcity of the data on mesh erosion there is no consensus regarding theideal approach to remove the mesh Combined endoscopic and percutaneous approach should be opted as thepreferred approach .Open surgery should be opted only if minimal invasive approach fails.]]>
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