Skip Navigation LinksHome > January/February 2012 - Volume 18 - Issue 1 > Missed Diagnosis of Complete Urethral Transection After Slin...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31823bc342
Case Reports

Missed Diagnosis of Complete Urethral Transection After Sling: The Case for Translabial Ultrasound

Rogo-Gupta, Lisa MD*; Le, Ngoc-Bich MD*; Raz, Shlomo MD

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Abstract

Abstract: Patients with complications of urethral sling placement for stress urinary incontinence are often treated for recurrent symptoms for years after initial reassuring evaluation. Translabial ultrasound is a noninvasive modality with minimal risks that can clearly diagnose urethral mesh complications. We present a 47-year-old premenopausal woman referred for treatment of urethral stricture and diverticulum 8 years after mesh sling placement. The diagnosis was made at an outside institution by voiding cystourethrogram and cystoscopy. However, translabial ultrasound confirmed the diagnosis of complete urethral transection, and the patient underwent a complex urethral reconstruction. Ultrasound should be used to evaluate patients with a history of urethral sling and persistent lower urinary tract symptoms. Referral to a center with advanced pelvic reconstruction services may be required.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins

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