title: Bladder perforation during sling procedures: diagnosis and management of injury.
abstract: OBJECTIVE
  Midurethral slings are an effective and minimally invasive treatment for stress urinary incontinence. One of the most common intraoperative complications is bladder perforation, complicating between 2 and 10% of all operations, and on average 4.7%. It is usually corrected during surgery, with repositioning of the trocars. The purpose of this video is to demonstrate a method of replacing the trocars under direct vision.
  
  
  METHODS
  This video exhibits a bladder perforation during insertion of a retropubic midurethral sling (Advantage Fit; Boston Scientific) and gives a step-by step guide to the removal and repositioning of the sling under direct visualisation.
  
  
  CONCLUSIONS
  Repositioning of the trocars under direct vision in cases of bladder perforation may have numerous advantages. It may prevent damage to the urethra, possibly reduce the risk of postoperative infection and may be beneficial for trainees.
authors.affiliation: Birmingham Women's Hospital NHS Foundations Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2TG, UK, f.israfilbayli@nhs.net.
authors.forename: F
authors.initials: F
authors.lastname: Israfil-Bayli
authors.forename: S
authors.initials: S
authors.lastname: Bulchandani
authors.forename: M
authors.initials: M
authors.lastname: Parsons
authors.forename: S
authors.initials: S
authors.lastname: Jackson
authors.forename: P
authors.initials: P
authors.lastname: Toozs-Hobson
mesh_terms: D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D053825:Suburethral Slings / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries*