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Published on: June 20, 2025
Extraperitoneal laparoscopic removal of eroded midurethral sling: a new technique
Jamil Rehman1, Bilal Chugtai, Troy Sukkarich
1Department of Urology, State University of New York, Stony Brook Health Sciences Center, Stony Brook, New York 11794-8093, USA. jarehman@notes.cc.sunysb.edu
Purpose:
Erosion of a midurethral sling is common in women who are treated for stress urinary incontinence. This complication is usually managed by retropubic exploration. We report a novel technique to manage erosion in patients who refuse retropubic exploration.
Patients And Methods:
Two women (ages 47 and 53 years) with stress urinary incontinence were treated with a midurethral sling. Postoperatively, at 24 and 22 months, respectively, the sling had eroded through the high urethra near the bladder neck. A three-port extraperitoneal laparoscopic approach was used to remove the urethral slings and repair the bladder.
Results:
The procedure was accomplished in 80 and 75 minutes, respectively, with no complications. Both patients remained continent.
Conclusion:
A minimally invasive extraperitoneal surgical technique can be used to manage midurethral sling erosion in women.
