Dyspareunia associated with paraurethral banding in the transobturator sling.
OBJECTIVE
We sought to compare the development of paraurethral banding and subsequent dyspareunia in women undergoing either a transobturator (TO) or retropubic (RP) sling.


METHODS
We conducted a retrospective cohort study comparing women treated with either a TO or RP sling during a 10-month period.


RESULTS
A total of 25 TO sling patients and 28 RP sling patients were compared in the study. Paraurethral banding was observed in 13/25 (52%) of the TO group compared with none in the RP group (P<.001). Although no difference was noted in overall female sexual function index scores, de novo internal dyspareunia was reported in 4/17 (24%) of the TO group and none in the RP group (P=.04). Paraurethral banding was observed in all patients reporting dyspareunia.


CONCLUSIONS
We have identified paraurethral banding as a previously unreported complication of the TO sling. Surgeons should be aware of paraurethral banding and subsequent internal dyspareunia as a potential complication.
Women's Continence Center of Greater Rochester, Rochester, NY, USA.
Hilary J
HJ
Cholhan
Timothy B
TB
Hutchings
Kristin E
KE
Rooney
D000328:Adult; D000368:Aged; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*