It is estimated that 10 to 20 percent of women will undergo a surgical procedure for stress urinary incontinence (SUI) in their lifetime. The synthetic midurethral sling is considered the current gold-standard surgical treatment for SUI.
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Urethral complications due to synthetic midurethral sling are uncommon (0.4 to 4 percent). Causes of urethral perforation after synthetic midurethral sling include entry into the urethra or excessive sling tension, which may lead to erosion over time. If urethral perforation occurs, transvaginal removal is an option. An individualized approach is used based on patient presentation and surgeon expertise.
In this video, urological surgeon Howard Goldman, MD, of Cleveland Clinic’s Glickman Urological & Kidney Institute demonstrates the pre-procedure patient evaluation and surgical technique of transvaginal sling removal from the urethra.
The surgery was the subject of a presentation at the American Urological Association’s 2016 annual meeting.