• Yelin Lou, Yang Hu, and Yibo Zhou.
• Department of Ultrasonography, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China.
• Medicine (Baltimore). 2023 Mar 3; 102 (9): e33129e33129.

RationaleMid-urethral sling is a gold-standard procedure for stress urinary incontinence because of its high efficacy and low complication incidence. Moreover, mesh erosion into the bladder is a rare complication.Patient ConcernsThe 63-year-old patient visited our gynecology clinic with complaints of gross hematuria and was diagnosed with bladder erosion by ultrasound 6 months after transobturator tape procedure.DiagnosesThe 2D ultrasound found the sling in the bladder wall perforation, which can lead to the formation of bladder stones. Meanwhile, 3D ultrasound showed the left side of the sling crossed the bladder mucosa at 5 o'clock.InterventionsThe sling and bladder stones were removed by holmium laser.OutcomesThe patient underwent a follow-up pelvic ultrasound at 6 months, which showed no erosion mesh under the bladder mucosa.LessonsPelvic ultrasound could accurately evaluate the location and shape of the tape, which is important for a reasonable surgical plan.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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