{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:14:43Z","timestamp":1747149283389,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>We encountered a urethrovaginal fistula diagnosed 11\u00a0years after a bone anchor sling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 58\u2010year\u2010old woman underwent a bone anchor sling to treat stress urinary incontinence. At age 69, mid\u2010urethral sling was planned because of a recurrent stress urinary incontinence diagnosis, but a urethrovaginal fistula was found immediately before the procedure. After removing woven polyester, the previous sling material, simple fistula closure was carried out but failed. Usage of a vaginal speculum and powerful medical lamps during a stress test revealed leakage from both the urethrovaginal fistula and the external urethral meatus. She underwent another fistula closure using a Martius flap. Subsequently, a 1\u2010h pad test improved from 195 to 5.1\u00a0g\/h. The remaining mild stress urinary incontinence did not necessitate further treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anti\u2010incontinence procedures using synthetic materials can cause urethrovaginal fistula. Attention must be paid to the possibility of urethrovaginal fistula when patients complain of worsened incontinence postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12374","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T10:20:02Z","timestamp":1632392402000},"page":"433-435","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urethrovaginal fistula 11\u00a0years after a bone anchor sling using woven polyester and treatment with a Martius flap"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8409-1859","authenticated-orcid":false,"given":"Kumiko","family":"Kato","sequence":"first","affiliation":[{"name":"Departments of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital  Nagoya 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