Synthetic midurethral sling placement is the most common procedure performed for women with symptomatic stress urinary incontinence.
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Postoperative complications are well-documented in the literature. The estimated rate of sling removal for urethral obstruction is approximately 2.3 percent, and for mesh extrusion is 1.8 percent. However, this may be an underestimate of the true incidence of these complications.
Surgeons at Cleveland Clinic’s Glickman Urological & Kidney Institute perform transvaginal sling excision on patients with evidence of sling obstruction or mesh extrusion.
This video presents three separate cases of synthetic mesh excision and provides tips to improve surgical outcomes in patients. This video was presented at the American Urological Association’s 2016 annual meeting and received an award for best video within its section.