Serious Complications From a Single-Incision Midurethral Sling Placement

Abstract

The single-incision midurethral sling has been introduced as an alternative to the traditional midurethral sling. Complications have been reported rarely. A 57-year-old multiparous woman with history of osteogenesis imperfecta type I underwent single-incision midurethral sling placement for stress urinary incontinence. She developed bladder mesh erosion, vaginal mesh exposure, and an urethrovaginal fistula. This case raises awareness of the potential complications that can arise after single-incision midurethral sling placement and emphasizes the importance of patient selection and preoperative evaluation before undergoing minimally invasive procedures.