title: Transvaginal sling release with intraoperative ultrasound guidance.
abstract: BACKGROUND
  Visualization of a midurethral sling may be challenging intraoperatively, especially if the sling is deep, well healed, not in the usual location, or made of materials that are not colored.
  
  
  METHODS
  We present the case of a 71-year-old woman presenting with a history of incomplete bladder emptying and debilitating voiding dysfunction documented by uroflowmetry and postvoid residual after a tension-free vaginal tape placement. Medications in addition to attempts to dilate her urethra failed to provide her with adequate relief. Intraoperative 3-dimensional ultrasound guidance was used to transect the sling that was otherwise unable to be localized with examination alone.
  
  
  CONCLUSIONS
  Surgical transection of a tension-free vaginal tape can be safely performed under the guidance of ultrasound. At her 12-month follow-up visit, the patient did not have urinary incontinence or voiding dysfunction.
authors.affiliation: From the Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA.
authors.forename: Marium S
authors.initials: MS
authors.lastname: Mukati
authors.forename: S Abbas
authors.initials: SA
authors.lastname: Shobeiri
mesh_terms: D000368:Aged; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D053825:Suburethral Slings; D018084:Ultrasonography, Interventional; D014621:Vagina