Complications of Midurethral Sling Stratified by Surgical Route: A Litigation-Derived Case Series of 252 Women.

This retrospective case series of 252 women who pursued litigation after midurethral sling placement examined whether further revision surgery is likely once a first revision has occurred. The authors found that repeat surgery was common: about half of women who had a first revision required a second, and among those who reached a second revision, 70% in the transobturator group underwent a third (an exploratory estimate based on only 36 women at risk). Because the cohort was selected on complications and litigation and no route comparisons were tested, the findings are hypothesis-generating and cannot establish population rates or route-specific differences.