Delayed presentation of a detached resectoscope beak and treatment with thulium laser

Intraoperative detachment of a resectoscope beak is an extremely rare and unusual event. Retrieval of the ceramic beak can be difficult due to the sheath's large size relative to the urethral lumen. Our report describes the retrieval of a calcified ceramic resectoscope beak from the urinary bladder 4 years after transurethral resection of the prostate (TURP). The calcified beak was successfully fragmented into 3 separate pieces with a thulium laser. This method allowed for safe removal of each fragment through the urethra.