BACKGROUND: Single-incision midurethral slings are an alternative to standard midurethral slings for the treatment of stress urinary incontinence. Single-incision midurethral slings use less mesh, relying on soft tissue anchors for mesh stabilization, but can be associated with chronic pain. CASE: We describe the novel use of magnetic resonance imaging to localize and stain a retained radiolucent single-incision midurethral sling anchor with methylene blue dye. This assisted the transvaginal dissection for removal of the stained anchor for a patient with persistent chronic pelvic pain after a prior mesh removal. CONCLUSION: Marking the target anchor with dye provided crucial intraoperative guidance for the surgical dissection. This technique can be a valuable tool for localizing surgical targets that are radiolucent.
Shih et al. (Thu,) studied this question.
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