It was reported to boston scientific corporation that a solyx sis system device was implanted during a laparoscopy, left oophorectomy, bilateral tubal ligation with bipolar electrocoagulation, hysteroscopy, dilatation, and curettage and solyx sub urethral sling suspension procedure performed on (b)(6) 2015, for the treatment of persistent left adnexal cyst mass, rule out dermoid cyst, desires permanent sterilization, left lower quadrant pelvic pain, menometrorrhagia, dysmenorrhea and stress urinary incontinence with urethral hypermobility.On (b)(6) 2023, the patient underwent placement of pubovaginal sub urethral sling using vnew fascia lata cadaver allograft, revision of mid-urethral sling mesh and cystourethroscopy due to urodynamic stress incontinence and vaginal exposure of mid-urethral sling mesh.The pre-existing mid-urethral sling exposure was approximately 5-8mm in the left lateral vaginal fornix.Tenotomy scissors were used to excise the expected mesh.An area of nodularity due to near mesh exposure in the right lateral vaginal fornix was addressed with a scalpel incision around the approximately 3mm area and tenotomy excision of a small segment of mesh.A series of interrupted and figure of eight 3-0 vicryl sutures were placed to approximate vaginal epithelium.The patient was awakened, extubated, and transferred to post anesthesia care unit in stable condition.
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