caa a22 4500 477045375 CHVBK 20180405111329.0 cr unu---uuuuu 170330e19961101xx s 000 0 eng 10.1007/BF01901109 doi (NATIONALLICENCE)springer-10.1007/BF01901109 Sling transection of urethra: a rare complication [Elektronische Daten] [H. Cholhan, K. Stevenson] Common postoperative complications associated with suburethral sling procedures include voiding disorders and urinary retention, de novo development of detrusor instability, sling graft rejection and, rarely, erosion of the graft into the urethra. The authors present a case of a late postoperative complication of polytetrafluoroethylene graft erosion and partial transection of the urethra, with resultant acute urinary retention. A 50-year-old patient presented with acute urethral outflow obstruction due to sling graft erosion into the urethra nearly 2 years after she underwent a curative sling procedure for recurrent genuine stress incontinence. After relieving the acute urinary retention by inserting a suprapulic catheter under ultrasound guidance, the sling graft was accessed and removed. The urethral defect was repaired successfully. At follow-up 5 months later, the patient was continent subjectively and by urodynamic criteria, with no voiding abnormalities. Although erosion of the sling graft into the urethra and transection of this structure is a rare complication after a sling procedure, it should be considered in the patient who experiences progressive voiding difficulties, has transvaginal urinary leakage, and/or cannot be catheterized transurethrally. Expedient relief of the urinary retention and outflow obstruction is necessary, as well as careful surgical reconstruction of the urethra. To minimize the development of this complication we recommend plication of paraurethral connective tissue in the midline beneath the sling graft, and placement of minimal tension on the sling. The International Urogynecology Journal, 1996 Complication nationallicence Sling procedure nationallicence Stress urinary incontinence nationallicence Urethra nationallicence Cholhan H. University of Rochester, Box 668, 14642, Rochester, NY, USA aut Stevenson K. University of Rochester, Box 668, 14642, Rochester, NY, USA aut International Urogynecology Journal Springer-Verlag 7/6(1996-11-01), 331-334 0937-3462 7:6<331 1996 7 192 https://doi.org/10.1007/BF01901109 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01901109 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cholhan H. University of Rochester, Box 668, 14642, Rochester, NY, USA aut NATIONALLICENCE 700 1- Stevenson K. University of Rochester, Box 668, 14642, Rochester, NY, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/6(1996-11-01), 331-334 0937-3462 7:6<331 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer