ArticleInternational urogynecology journal2013
Midurethral sling incision: indications and outcomes.
Article in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 65 citations in OpenAlex.
- Vaginal Mesh Revision Surgery: A Focus on Functional Outcomes.Journal of clinical medicine · 2026Article
- Non-ablative transurethral laser treatment for collagen remodeling with functional recovery in an in vivo model of stress urinary incontinence.Scientific reports · 2026Article
- A new approach to treatment of stress urinary incontinence using non-ablative transurethral laser.Scientific reports · 2025Article
- [Functional disorders of the lower urinary tract following urogynecologic and abdominal surgery].Urologie (Heidelberg, Germany) · 2025Review
- Unilateral J-cut division versus partial and subtotal removal techniques in female patients with mesh-related urethral obstruction: Multicentric comparative study.BJUI compass · 2024Article
- Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review.Journal of clinical medicine · 2024Review
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Risk factors for stress urinary incontinence recurrence after midurethral sling revision.International journal of urology : official journal of the Japanese Urological Association · 2023Article
- Pain after midurethral sling; the underestimated role of mesh removal.Central European journal of urology · 2021Article
- Risk Factors for Returning to the Operating Room for a Second Surgery After Midurethral Sling for Stress Urinary Incontinence.Female pelvic medicine & reconstructive surgery · 2020Article
- Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion.International urogynecology journal · 2018Article
- Ultrasound imaging in urogynecology - state of the art 2016.Przeglad menopauzalny = Menopause review · 2016Article
- Safety and efficacy of single-incision sling for female stress urinary incontinence: 3 years' results.International urogynecology journal · 2016Article
- The Outcome of Repeated Mid Urethral Sling in SUI Treatment after Vaginal Excisions of Primary Failed Sling: Preliminary Study.BioMed research international · 2016Article
- Vaginal excision of the sub-urethral sling: analysis of indications, safety and outcome.Archives of medical science : AMS · 2015Article
- The investigation and treatment of female pelvic floor dysfunction.Deutsches Arzteblatt international · 2015Review
- Complications following Tension-Free Vaginal Tapes: Accurate Diagnosis and Complications Management.BioMed research international · 2015Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisControversy continues over the effectiveness of sling incision, which is the most common operative approach to treating complications following suburethral sling insertion. This retrospective analysis assessed the indications for sling incision and patient outcomes regarding resolution of complications and stress urinary incontinence.
methodsA review was conducted of the medical records of women who underwent sling incision between 2003 and 2010. Data such as surgical indications, ultrasound findings and medical outcomes were extracted from 198 records, and descriptive and inferential statistical methods of analysis were used.
resultsIn the 198 patients eligible for study inclusion, the primary reasons for sling incision were overactive bladder (68 %), voiding dysfunction (61 %), and recurrent urinary tract infections (53 %). Additional complications included dyspareunia (18 %), chronic pelvic pain (17 %), and sling exposure (15 %). Sling incision led to immediate postoperative cure of voiding dysfunction in 97 % of patients. Cure rates for overactive bladder and dyspareunia were 60 % and 94 % respectively. Chronic pelvic pain was resolved in 82 % of cases and all cases of sling exposure were cured. Eighty-five (61 %) of the 140 patients who were continent before sling incision developed recurrent stress urinary incontinence (SUI) postoperatively.
conclusionsThese findings indicate that sling incision can be highly successful in improving voiding dysfunction and dyspareunia, and moderately successful in curing overactive bladder and chronic pain. However, SUI may recur in more than 60 % of the patients undergoing sling incision. Consequently, patients being considered for a sling incision procedure should be informed about this possible complication.
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