title: Urethral injury with transobturator midurethral sling.
abstract: Transobturator midurethral slings were introduced to avoid retropubic complications such as bladder, urethra, bowel, and major vessel injuries. However, complications are not completely eliminated. We present a urethral injury presenting with urge predominant mixed incontinence. The sling was removed transvaginally. Urethral injuries are now less common than they originally were owing to advances in operative technique and product innovation. However, it is incumbent on physicians to evaluate product characteristics that may affect outcomes in their patients. We further reiterate that thorough cystoscopy with urethroscopy is an essential step when performing transobturator midurethral slings.
authors.affiliation: Department of Obstetrics, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. shepherdjp@upmc.edu
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Shepherd
authors.forename: Rachel B
authors.initials: RB
authors.lastname: Rapkin
authors.forename: Halina M
authors.initials: HM
authors.lastname: Zyczynski
mesh_terms: D000368:Aged; D003558:Cystoscopy / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D053825:Suburethral Slings / Q000009:adverse effects*; D013525:Surgical Instruments / Q000009:adverse effects; D013526:Surgical Mesh / Q000009:adverse effects; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries* / Q000503:physiopathology; D053202:Urinary Incontinence, Urge / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery