Transvaginal Sling Excision: Tips and Tricks to Improve Outcomes (Video)

Complications such as urethral obstruction, mesh extrusion and/or chronic pain can necessitate removal of synthetic midurethral slings originally placed to treat stress urinary incontinence. Surgeons at Cleveland Clinic’s Glickman Urological & Kidney Institute perform transvaginal sling excision to address these complications. This video presents three separate cases of synthetic mesh excision and offer tips to improve surgical outcomes.

Transvaginal Removal of Synthetic Midurethral Sling: Watch How It’s Done (Video)

If urethral perforation occurs after synthetic midurethral sling placement, transvaginal removal is an option. In this video, Cleveland Clinic urological surgeon Howard Goldman, MD, demonstrates the pre-procedure patient evaluation and surgical technique of transvaginal sling removal from the urethra of a 66-year old patient with a history of urinary retention and urinary tract infections.

Advertising Policy

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services Policy

Could Stem Cells Be an Answer for SUI?

Regenerating the urinary sphincter’s functional capability may be an alternative to traditional methods to restore normal pelvic anatomy in women with stress urinary incontinence. Cleveland Clinic researchers are participating in a clinical trial evaluating autologous muscle-derived stem cells for urinary sphincter repair in SUI patients.

Fix Prolapse First

Overactive bladder guidelines call for following hierarchical treatment of patients, with correction of prolapse the next step for patients who fail modifiable and medical interventions.

Advertising Policy