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Use of a Tissue Expander to Aid in a Second Urethrolysis: A Case Report

Alas, Alexandriah MD; Hall, Cynthia MD

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31826d34df
Case Reports

Objectives: To describe a novel approach of retropubic urethrolysis using placement of a tissue expander to prevent rescarring after previously failed vaginal urethrolysis in a patient with known extensive scar tissue.

In Brief

The use of a tissue expander in retropubic urethrolysis after failed vaginal urethrolysis in one patient resulted in resolution of voiding dysfunction, severe urge urinary incontinence, and recurrent urinary tract infections.

Author Information

From the Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA.

Reprints: Alexandriah Alas, MD, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 448 N Poinsettia Pl, Los Angeles, CA 90036. E-mail:

The authors declare that they have nothing to disclose.

Authors’ contributions: C Hall, protocol/project development, data collection, manuscript writing; AN Alas, data collection and manuscript writing.

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