Old wine into new wineskins: an update for female stress urinary incontinence.

Abstract:

PURPOSE OF REVIEW:To review minimally invasive modifications of traditional surgeries for female stress urinary incontinence (SUI) in light of increased demand. RECENT FINDINGS:Prior to the synthetic mid-urethral sling (MUS), traditional procedures were used to correct SUI. Often these were retropubic colposuspension procedures for a hypermobile urethra and fascial slings for sphincter deficiency but fell out of favor because of increased morbidity compared with synthetic MUS. As controversy rages over use of mesh in female pelvic reconstructive surgery, more women desire nonmesh alternatives. Traditional approaches have been modified to enable colposuspensions and fascial slings to be performed minimally invasively without minimizing efficacy. SUMMARY:Minimally invasive modifications to traditional procedures for SUI have been available for about a decade but interest has been recently reignited in the setting of patient concern over mesh.

authors

Shaw JS

doi

10.1097/GCO.0000000000000579

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

494-500

issue

6

eissn

1040-872X

issn

1473-656X

journal_volume

31

pub_type

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