PFD Week 2016-Transvaginal Approach to Urethral Reconstruction After Midurethral Sling Complication

Transvaginal Approach to Urethral Reconstruction After Midurethral Sling Complication

Video Transcription

Video Summary

In this video presentation by the University of Illinois Department of Urology, a 45-year-old female with urethral pain and stress incontinence following a transopterator tape placement underwent a transvaginal approach to urethral reconstruction. Preoperative examination and imaging revealed complications including mesh and stones in the urethra, which were missed in previous cystoscopies. Surgical steps included mobilization of the urethra, identification and removal of the mesh and stones, closure of the urethra, and prevention of urethral narrowing. Postoperatively, the patient experienced a significant improvement in symptoms, with complete resolution of pain and minimal remaining incontinence.

Asset Subtitle

Tony Nimeh, MD

Keywords

urethral pain

stress incontinence

transvaginal approach

mesh complications

stones in urethra