@Article{,
AUTHOR = {Todd M. Webster, Ronald G. Gerridzen},
TITLE = {Urethral erosion following autologous rectus fascial pubovaginal sling},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {10},
YEAR = {2003},
NUMBER = {6},
PAGES = {2068--2069},
URL = {http://www.techscience.com/CJU/v10n6/62712},
ISSN = {1488-5581},
ABSTRACT = {Urethral erosion following pubovaginal sling is a rare
occurrence. When synthetic sling materials are used
urethral erosion often necessitates removal of the sling
and urethral reconstruction. The literature is sparse with
respect to the best approach to fascial sling erosion. We
report a case of a 73 year-old woman who underwent a
pubovaginal sling using autologous rectus fascia for
treatment of stress urinary incontinence (SUI). She
developed urethral erosion following 2 weeks of clean
intermittent catheterization (CIC). Visual internal
urethrotomy (VIU) was performed to incise the sling and
the prolene sutures were removed to eliminate any
tension. The patient subsequently voided spontaneously
and had resolution of her SUI. This case demonstrates
that urethral erosion may occur even when fascial slings
are used. Unlike synthetic slings, when autologous fascia
is used, the tissue may be left in-situ. A minimally
invasive approach may achieve an excellent result without
the need for complex surgical repair.},
DOI = {}
}