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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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.

© 2013 by Lippincott Williams & Wilkins


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