Case ReportsOsteochondroma of the Pubic Symphysis Involved With Aberrantly Placed Minisling A Case ReportLee, Wai MD; Amin, Katherine MD; Kieras, David M. MD; Coy, David L. MD, PhD; Ruhoy, Steven M. MD; Lee, Una J. MDAuthor Information From the Department of Urology and Renal Transplantation, Orthopedics, Radiology, and Pathology, Virginia Mason, Seattle, WA. Correspondence: Wai Lee, MD, Department of Urology and Renal Transplantation, Virginia Mason, 1100 Ninth Ave, C7-URO Seattle, WA 98101. E-mail: WaiLee@gmail.com. The authors have declared they have no conflicts of interest. Online date: July 15, 2019 Female Pelvic Medicine & Reconstructive Surgery: January 2020 - Volume 26 - Issue 1 - p e1–e3 doi: 10.1097/SPV.0000000000000755 Buy Metrics Abstract Osteochondromas are benign bone tumors that rarely involve the pubic symphysis. This case report describes a 41-year-old woman with a pubic symphyseal osteochondroma associated with an aberrantly placed single incision sling. After an outside surgeon placed a single incision midurethral sling for stress urinary incontinence, she developed pelvic pain, dyspareunia and vaginal mesh sling exposure. Imaging demonstrated a 2.6 centimeter calcified mass posterior to the pubic symphysis. The patient underwent excision of the mass and the eroded mesh sling via vaginal and abdominal approaches. Pathology demonstrated osteochondroma aggregated around mesh. This is a rare case of a single incision sling placed aberrantly into a pubic symphyseal osteochondroma that required excision. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.