title: Intraoperative Ultrasound-Guided Removal of Retained Mini Sling Anchor Causing Vaginal Pain: A Case Report.
abstract: Since the introduction of the tension-free vaginal tape, the surgical management of female stress urinary incontinence has undergone a dramatic shift toward synthetic midurethral slings (MUSs). The evolution of the MUS has led to the development of the single incision mini sling (SIMS), a minimally invasive procedure that can be performed under local anesthesia. Complications arising after SIMS placement parallel those of the traditional MUS, including pelvic pain, dyspareunia, and mesh erosion. The patient in this case presented with persistent pelvic pain due to a retained SIMS anchor after having previously undergone SIMS placement and subsequent transvaginal exploration with mesh removal. We report the use of intraoperative ultrasound for identification and removal of the retained SIMS anchor.
authors.affiliation: From the Glickman Urological & Kidney Institute, The Cleveland Clinic, Cleveland, OH.
authors.forename: Nima
authors.initials: N
authors.lastname: Almassi
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
mesh_terms: D020878:Device Removal; D004414:Dyspareunia / Q000209:etiology / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D010149:Postoperative Pain / Q000209:etiology / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D012086:Reoperation; D053825:Suburethral Slings / Q000009:adverse effects*; D025321:Surgery, Computer-Assisted; D013526:Surgical Mesh; D018084:Ultrasonography, Interventional; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery; D055815:Young Adult