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Cystolith Formation Complicating Single-Incision Sling

Chin, Kathleen MD; Ripperda, Christopher M. MD; Schaffer, Joseph I. MD; Wai, Clifford Y. MD

Female Pelvic Medicine & Reconstructive Surgery: May/June 2014 - Volume 20 - Issue 3 - p 177–179
doi: 10.1097/SPV.0b013e3182a330d6
Case Series

Abstract: Single-incision slings are the newest midurethral slings developed for the surgical treatment of stress urinary incontinence. We report the case of a patient who underwent single-incision sling placement who presented with recurrent stress incontinence 3 years after the procedure. She was found to have a 1.7-cm bladder stone that formed around the single-incision sling polypropylene barb.

Although complications are infrequent, single-incision slings may result in unrecognized bladder injury with subsequent stone formation around the mesh carrier barb, supporting the recommendation for routine intraoperative cystoscopy during sling placement.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Reprints: Kathleen Chin, MD, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9032. E-mail: kathleen.chin@utsouthwestern.edu.

The authors have declared they have no conflicts of interest.

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