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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: September/October 2012 - Volume 18 - Issue 5 - p 308–309
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.

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.

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.