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.
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.
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.
O&G open. 2026 Mar 19*** epublish ***
Sabrina Shih, Kate Maturen, Ashley Skeith, Shane Wells, Tom Chenevert, Vikas Gulani, Daniel M Morgan
University of Michigan Medical School, Ann Arbor, Michigan; Department of Radiology, Department of Obstetrics and Gynecology, and Department of Radiology, University of Michigan, Ann Arbor, Michigan.