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Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):437-9. doi: http://10.1097/AOG.0b013e31826d27e3.

Autologous graft for treatment of midurethral sling exposure without mesh excision.

Author information

1
Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island, USA. peterjeppson@gmail.com

Abstract

BACKGROUND:

The midurethral sling is an effective treatment for stress urinary incontinence. Mesh exposure is a known complication of this procedure, with an associated rate of approximately 4%. Other than sling excision, there is minimal information on other options that may help to preserve an effective sling when an exposure has occurred.

CASE:

A patient presented with a mesh exposure 9 weeks after a retropubic midurethral sling. Conservative treatment with vaginal estrogen failed, as did primary reclosure in the operating room. She was then successfully treated with a full-thickness autologous vaginal epithelium graft.

CONCLUSION:

We report an alternative surgical option to mesh excision, which may help preserve an otherwise effective midurethral sling complicated by mesh exposure.

[Indexed for MEDLINE]

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