Percutaneous bone anchor sling using synthetic mesh associated with urethral overcorrection and erosion

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3 Scopus citations

Abstract

Percutaneous bone anchor bladder neck suspension has been recommended as a less morbid alternative to traditional anti-incontinence procedures. Specifically, it has reported to be associated with shorter duration of hospitalization, catheterization and urinary retention, and equivalent short-term cure rates. Recently, there have been reports of pubic osteomyelitis associated with bone anchor placement, and high incidences of recurrent incontinence. To improve the effectiveness of the procedure the placement of a suburethral synthetic collagen-impregnated mesh without tension was recommended. A specific device is included with the kit (Suture Spacer (Microvasive/Boston Scientific Corp., Natiok, MA) to prevent overcorrection of the urethrovesical junction. We present a case of urethral erosion and complete urinary retention secondary to use of a percutaneous bone anchor sling using a ProteGen mesh (Microvasive/Boston Scientific Corp., Natick, MA). Significant postoperative urethral overcorrection was noted despite intraoperative use of the Suture Spacer.

Original languageEnglish (US)
Pages (from-to)328-329
Number of pages2
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume11
Issue number5
DOIs
StatePublished - Jan 1 2000

Keywords

  • Bone anchor
  • Erosion
  • Pubovaginal sling
  • Urethra

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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