Risk Factors For Failure of Midurethral Slings: The Effect of Intrinsic Urethral Function, Urethral Hypomobility & Previous Failed Surgery
نویسنده
چکیده
Retropubic and transobturator mid‐urethral slings seem to perform differently with regard to failure in women with specific underlying pathology like ISD, detrusor overactivity, mixed urinary incontinence or a history of previous incontinence surgery. Also controversy exists whether stress incontinence and prolaps surgery should be carried out simultaneously or done in separate sessions. In this workshop the following will be discussed: the predictive value of the diagnostic work‐ up for the success or failure of mid‐urethral slings, which parameters predict failure and why, combine or not prolapse and incontinence surgery and how to decide on the best mid‐ urethral sling in women with and without risk factors for failure.
منابع مشابه
Adjustable Midurethral Slings in the Treatment of Female Stress Urinary Incontinence
Midurethral slings have become the gold standard in the surgical treatment of stress urinary incontinence (SUI). However, despite the high cure rates with these procedures, nearly 20% of the patients are incontinent after surgery. On the other hand, in a small percentage of women, voiding dysfunction may develop after surgery. Adjustable slings have been advocated in patients who fail an anti-i...
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