Biodegradable materials for surgical management of stress urinary incontinence: A narrative review

Stress urinary incontinence (SUI) was managed with techniques such as colposuspension, autologous fascia sling and urethral bulking agents. The introduction of the mid-urethral polypropylene (PP) in 1990s led to a significant rapid global change SUI surgery. synthetic non-degradable PP had superior results traditional procedures but its use has now declined due complications pain mesh erosion. These are attributed poor biocompatibility integration into vaginal tissues. efficacy extrapolated from studies on abdominal wall repair it is clear that implanted materials pelvic floor differs wall. With prohibited some jurisdictions, female patients have few management options. In present review we summarise recent advances surgery evaluate potential alternatives slings particular focus degradable materials. Allograft xenograft demonstrate good yielded suboptimal cure rates. Tissue engineered outperform unmodified terms biomechanics cell support. Synthetic tissue show promising vitro future research should animal human trials this field.