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Urethral Mesh Erosion After Single-Incision Mid-Urethral Sling

Minaglia, Steven MD, MBA; Oyama, Ian A. MD, MBA

Female Pelvic Medicine & Reconstructive Surgery: September/October 2012 - Volume 18 - Issue 5 - p 310–312
doi: 10.1097/SPV.0b013e31826d34f5
Case Reports

Background This report aims to describe urethral mesh erosion after a single-incision synthetic midurethral sling placement and to discuss possible causes for this complication.

Case A 41-year-old woman presented with recurrent stress urinary incontinence after an anchored single-incision midurethral sling placement. Cystourethroscopy and translabial pelvic ultrasonography demonstrated the size and location of the injury. Mesh removal, urethral reconstruction, and Martius transposition flap were performed. The entire mesh removed was 24% shorter than the product before insertion.

Conclusion Mesh contraction may play an important role in delayed urinary tract injury especially after anchored synthetic midurethral sling placements.

Mesh contraction occurred in a case of urethral mesh erosion after an anchored, synthetic, mid-urethral sling.

From the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.

Reprints: Steven Minaglia, MD, MBA, John A. Burns School of Medicine, University of Hawaii, 1319 Punahou St, Suite 824, Honolulu, HI 96826. E-mail: minaglia@hawaii.edu.

Reprints will not be available.

The authors declare that they have nothing to disclose.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.