What are common complications associated with midurethral sling procedures?

• A. Mesh erosion, vaginal erosion, infection, pain, urinary obstructive symptoms or urgency, and recurrent SUI
• B. Improved continence with no complications
• C. Increased libido
• D. Renal failure

Answer: (B)

Midurethral sling procedures can effectively treat stress urinary incontinence, but they carry a risk of complications related to the implanted mesh and altered urethral support. The most commonly reported problems include mesh erosion into surrounding tissues (such as the vaginal canal or urethra), infection, pelvic or groin pain, urinary symptoms like obstruction or urgency, and sometimes recurrent stress urinary incontinence if the sling fails or loosens. This reality contrasts with the idea of an entirely complication-free outcome, which isn’t typical. Increased libido and renal failure are not recognized as common complications of this procedure. Therefore, the description listing erosion, infection, pain, obstructive or urgency symptoms, and recurrent SUI best reflects the common complications.