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Serious Complications From a Single-Incision Midurethral Sling Placement

BACKGROUND: The single-incision midurethral sling has been introduced as an alternative to the traditional midurethral sling. Complications have been reported rarely. CASE: 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. CONCLUSION: 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.