Vesicovaginal fistula following a transobturator midurethral sling procedure.
Synthetic mid-urethral slings are currently the most common surgical procedure performed for the treatment of female stress urinary incontinence. The transobturator mid-urethral sling technique was originally described in 2001 and has since become widely accepted due to its high rate of success and low complication rate. Although complications remain infrequent, when they do occur, there is potential for significant patient morbidity. We report a case of a vesicovaginal fistula following a transobturator mid-urethral sling procedure and describe successful reconstruction with transvaginal sling excision, fistula closure, and placement of an autologous pubovaginal sling.
Starkman
Jonathan S
JS
Department of Urologic Surgery, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN 37232-2765, USA. jonathan.s.starkman@vanderbilt.edu
Meints
Laura
L
Scarpero
Harriette M
HM
Dmochowski
Roger R
RR
D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery