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Updated: May 25, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Serious complications from a single-incision midurethral sling placement
Christopher Chung1, Taylor Kingman, Lawrence Tsai
1From the Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, and the Department of Urology, Scott and White Healthcare, Texas A&M Health Science Center College of Medicine, Temple, Texas.
Obstetrics and Gynecology
|January 25, 2012
Summary
Single-incision midurethral slings (SIMS) are an alternative to traditional slings, but rare complications like mesh erosion and fistula can occur. Careful patient selection is crucial for these minimally invasive procedures.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
Background:
- Single-incision midurethral slings (SIMS) offer an alternative to traditional procedures for stress urinary incontinence.
- While generally safe, rare complications associated with SIMS have been documented.
Observation:
- A case report details a 57-year-old multiparous woman with osteogenesis imperfecta type I.
- The patient underwent SIMS placement for stress urinary incontinence.
Findings:
- The patient developed significant complications, including bladder mesh erosion and vaginal mesh exposure.
- An urethrovaginal fistula also occurred post-procedure.
Implications:
- This case highlights potential serious complications following SIMS placement.
- Emphasizes the critical need for meticulous patient selection and thorough preoperative evaluation for minimally invasive gynecological procedures.
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