Dyspareunia associated with paraurethral banding in the transobturator sling

Hilary J. Cholhan, Timothy B. Hutchings, Kristin E. Rooney

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Objective: We sought to compare the development of paraurethral banding and subsequent dyspareunia in women undergoing either a transobturator (TO) or retropubic (RP) sling. Study Design: We conducted a retrospective cohort study comparing women treated with either a TO or RP sling during a 10-month period. Results: A total of 25 TO sling patients and 28 RP sling patients were compared in the study. Paraurethral banding was observed in 13/25 (52%) of the TO group compared with none in the RP group (P < .001). Although no difference was noted in overall female sexual function index scores, de novo internal dyspareunia was reported in 4/17 (24%) of the TO group and none in the RP group (P = .04). Paraurethral banding was observed in all patients reporting dyspareunia. Conclusion: We have identified paraurethral banding as a previously unreported complication of the TO sling. Surgeons should be aware of paraurethral banding and subsequent internal dyspareunia as a potential complication.

Original languageEnglish (US)
Pages (from-to)481.e1-481.e5
JournalAmerican Journal of Obstetrics and Gynecology
Volume202
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

Keywords

  • complications
  • dyspareunia
  • female sexual function
  • tension-free vaginal tape
  • transobturator tape

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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