ArticleAnnals of the Royal College of Surgeons of England2012
Management of recurrent stress urinary incontinence and urinary retention following midurethral sling insertion in women.
Article in Annals of the Royal College of Surgeons of England, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 26 citations in OpenAlex.
- Post-Sling Urinary Retention in Women.Current urology reports · 2016Review
- Repeat surgery after failed midurethral slings: a nationwide cohort study, 1998-2007.International urogynecology journal · 2016Article
- Risk factors for failure of repeat midurethral sling surgery for recurrent or persistent stress urinary incontinence.International urogynecology journal · 2016Article
- The role of bladder neck suspension in the era of mid-urethral sling surgery.World journal of urology · 2015Review
- Effectiveness of mesh compared with nonmesh sling surgery in Medicare beneficiaries.Obstetrics and gynecology · 2013Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSynthetic midurethral slings are the most common operations performed for women with stress urinary incontinence (SUI). However, there is only very scarce evidence regarding the management of complications from these operations. The aim of this survey was to canvass expert opinion regarding the management of recurrent SUI and urinary retention following insertion of these slings.
methodsExpert urologists and urogynaecologists in the UK with an interest in SUI were identified. Three clinical scenarios on recurrent SUI and one on urinary retention following midurethral sling placements were emailed twice to the experts.
resultsThe majority of the experts chose a repeat synthetic midurethral retropubic transvaginal tape (TVT) as the procedure of choice for recurrent SUI in patients who had had a previous TVT or midurethral transobturator tape inserted. In patients who continued to suffer SUI after a failed second TVT, there were mixed results with experts choosing fascial slings, colposuspension and bulking agents as their preferred method of treatment. In women who develop urinary retention following a TVT, tape pull-down within two weeks was the preferred method among the experts. However, division of the tape within two to six weeks following the procedure was also popular.
conclusionsBased on expert opinion, it is difficult to make a recommendation as to the best method of treating recurrent SUI or urinary retention following tape insertion. There is an urgent requirement for well conducted, multicentre, randomised clinical trials to look at the management of these complications and also the tools used to assess the patient before salvage surgical management.
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