Urethral diverticulum after midurethral sling erosion, excision, and subsequent management

Robert Chan, Saneal Rajanahally, Adam Hollander, Rose Khavari

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Urethral diverticulum formation after midurethral sling placement is a very rare complication. Only 3 previous cases have been reported in the English literature. This is the first reported case of urethral diverticulum formation after midurethral sling excision for urethral erosion. Case: A 43-year-old female patient presented with recurrent stress incontinence after midurethral tension-free vaginal tape sling removal for urethral erosion. Retrograde urethrogram demonstrated a urethral di-verticulum. Video urodynamics showed a Valsalva leak point pressure of 50 cm H2O at 250 mL. She subsequently underwent urethral diverticulectomy with pubovaginal sling placement. Conclusions: We present the first reported case of urethral divertic-ulum formation after midurethral sling excision for urethral erosion. Future consideration must be given to full excision of the sling tract during the sling removal operation in cases of urethral erosion to prevent this rare complication.

Original languageEnglish (US)
Pages (from-to)e3-e5
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume21
Issue number1
DOIs
StatePublished - 2015

Keywords

  • Erosion
  • Midurethral sling
  • Pubovaginal sling
  • Stress urinary incontinence
  • Urethral diverticulum

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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