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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

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Cystolith formation complicating single-incision sling.

Kathleen Chin¹, Christopher M Ripperda, Joseph I Schaffer

¹From the Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Female Pelvic Medicine & Reconstructive Surgery

|April 26, 2014

Summary

Recurrent stress urinary incontinence after single-incision sling surgery may indicate a rare complication. A bladder stone formed around the sling

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Area of Science:

Urology
Gynecology

Background:

Single-incision slings are a newer surgical option for stress urinary incontinence.
These devices aim to provide urethral support during increased abdominal pressure.

Observation:

A patient experienced recurrent stress urinary incontinence 3 years post-single-incision sling placement.
Imaging revealed a 1.7-cm bladder stone.

Findings:

The bladder stone had formed directly around the polypropylene barb of the single-incision sling.
This suggests a potential long-term complication of material erosion and calculus formation.

Implications:

This case highlights a rare but serious complication associated with single-incision slings.
Further investigation into the long-term biocompatibility and potential for stone formation with these devices is warranted.
Clinicians should consider stone formation in patients with recurrent symptoms after sling placement.