Skip Navigation LinksHome > May/June 2013 - Volume 19 - Issue 3 > Transvaginal Sling Release With Intraoperative Ultrasound Gu...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e318285bbed
Case Reports

Transvaginal Sling Release With Intraoperative Ultrasound Guidance

Mukati, Marium S. MD,; Shobeiri, S. Abbas MD, FACOG

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Abstract

Introduction

Visualization of a midurethral sling may be challenging intraoperatively, especially if the sling is deep, well healed, not in the usual location, or made of materials that are not colored.

Case

We present the case of a 71-year-old woman presenting with a history of incomplete bladder emptying and debilitating voiding dysfunction documented by uroflowmetry and postvoid residual after a tension-free vaginal tape placement. Medications in addition to attempts to dilate her urethra failed to provide her with adequate relief. Intraoperative 3-dimensional ultrasound guidance was used to transect the sling that was otherwise unable to be localized with examination alone.

Conclusions

Surgical transection of a tension-free vaginal tape can be safely performed under the guidance of ultrasound. At her 12-month follow-up visit, the patient did not have urinary incontinence or voiding dysfunction.

Copyright © 2013 by Lippincott Williams & Wilkins

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