Management of urethral erosion caused by a pubovaginal fascial sling

Urethral erosion by a fascial sling is a rare postoperative complication, a nd its repair can become a major surgical endeavor. We present a case of au tologous fascial sling erosion into the mid-urethra in a 46-year-old woman that was diagnosed after traumatic urethral catheterization. After 3 months of conservative management failed, we released the sling tension surgicall y by bilateral excision of the graft, leaving the midline structures undist urbed. This allowed resumption of normal voiding, with complete long-term s ymptomatic relief. UROLOGY 57: 159-160, 2001. (C) 2001, Elsevier Science In c.