"Central Road" cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy.
Kumiko KatoYasukuni YoshimuraMasahiro NarushimaShoji SuzukiRyohei HattoriPublished in: IJU case reports (2020)
The "Central Road" cystoscopic finding can be a signpost pointing to laparoscopic sacrocolopopexy mesh overtensioning, which can cause dekinking of the bladder neck, exacerbate stress urinary incontinence, and possibly lead to stress-induced instability. A midurethral sling successfully relieved mixed urinary incontinence in this case, but it might be necessary to loosen the laparoscopic sacrocolopopexy mesh in some other cases.