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Intraoperative Ultrasound-Guided Removal of Retained Mini Sling Anchor Causing Vaginal Pain

A Case Report

Almassi, Nima MD; Goldman, Howard B. MD

Female Pelvic Medicine & Reconstructive Surgery: January/February 2016 - Volume 22 - Issue 1 - p e17–e19
doi: 10.1097/SPV.0000000000000236
Case Reports

Since the introduction of the tension-free vaginal tape, the surgical management of female stress urinary incontinence has undergone a dramatic shift toward synthetic midurethral slings (MUSs). The evolution of the MUS has led to the development of the single incision mini sling (SIMS), a minimally invasive procedure that can be performed under local anesthesia. Complications arising after SIMS placement parallel those of the traditional MUS, including pelvic pain, dyspareunia, and mesh erosion. The patient in this case presented with persistent pelvic pain due to a retained SIMS anchor after having previously undergone SIMS placement and subsequent transvaginal exploration with mesh removal. We report the use of intraoperative ultrasound for identification and removal of the retained SIMS anchor.

We present a case in which intraoperative ultrasound was used to localize and remove an impalpable, retained mini sling anchor causing vaginal pain.

From the Glickman Urological & Kidney Institute, The Cleveland Clinic, Cleveland, OH.

Reprints: Nima Almassi, MD, Glickman Urological & Kidney Institute, The Cleveland Clinic, Q10, 9500 Euclid Ave, Cleveland, OH 44195. E-mail:

The authors have declared they have no conflicts of interest.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.