ArticleFemale pelvic medicine & reconstructive surgery2022
Long-Term Outcomes After Midurethral Mesh Sling Surgery for Stress Urinary Incontinence.
Article in Female pelvic medicine & reconstructive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Beyond the Mesh: PuboUrethral Ligament Plication Versus Transobturator Tape at 6 Months and the Power of Preoperative ICIQ-SF for Risk Stratification.International urogynecology journal · 2026Article
- Toward a Future Where Diabetes No Longer Limits Mesh Surgery.International urogynecology journal · 2026Article
- Alternatives to Synthetic Midurethral Slings in the Surgical Management of Female Stress Urinary Incontinence: Results of a National Survey.International urogynecology journal · 2026Article
- Urethral Morphology and Support Associated with Urinary Symptoms after Vaginal Surgery with and without Midurethral Sling.medRxiv : the preprint server for health sciences · 2026Article
- [Effect of TVT-Abbrevo in the treatment of female stress urinary incontinence].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- The Long-Term Rate of Reoperation After Midurethral Sling Insertion Among Women With Urinary Incontinence: A Population-Based Study.International urogynecology journal · 2026Article
- Persistent or Recurrent Urinary Incontinence 8 Years After Midurethral Sling Surgery: A Retrospective Cohort Study.International urogynecology journal · 2025Article
- Characterizing the structural properties and porosity of mid-urethral slings with varied manufacturing techniques.Frontiers in bioengineering and biotechnology · 2025Article
- Dysregulated wound healing in the pathogenesis of urogynecologic mesh complications.Scientific reports · 2023Article
- A 10- to 20-year follow-up after tension-free vaginal tape for stress urinary incontinence.International urogynecology journal · 2023Article
- Urinary Incontinence and Pelvic Organ Prolapse in Women.Deutsches Arzteblatt international · 2023Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesAlthough midurethral mesh slings are the criterion standard surgical treatment for stress urinary incontinence (SUI), limited data exist regarding long-term outcomes. Thus, our objectives were to evaluate the long-term risk of sling revision and the risk of repeat SUI surgery up to 15 years after the initial sling procedure and to identify predictors of these outcomes.
methodsUsing a population-based cohort of commercially insured individuals in the United States, we identified women aged 18 years or older who underwent a sling procedure between 2001 and 2018. For sling revision, we evaluated indications (mesh exposure or urinary retention). We estimated the cumulative risks of sling revision and repeat SUI surgery annually using Kaplan-Meier survival curves and evaluated predictors using Cox proportional hazards models.
resultsWe identified 334,601 mesh sling surgical procedures. For sling revision, the 10-year and 15-year risks were 6.9% (95% confidence interval [CI], 6.7-7.0) and 7.9% (95% CI, 7.5-8.3), with 48.7% of sling revisions associated with mesh exposure. The 10-year and 15-year risks of repeat SUI surgery were 14.5% (95% CI, 14.2-14.8) and 17.9% (95% CI, 17.3-18.6). Women aged 18-29 years had an elevated risk for both sling revision (hazard ratio, 1.20; 95% CI, 1.15-1.25) and repeat SUI surgery (hazard ratio, 1.30; 95% CI, 1.25-1.37) compared with women 70 years and older.
conclusionsIn our study population, the 15-year risk of sling revision was 7.9%, with nearly half of revisions due to mesh exposure. These findings provide critical long-term data to support informed decisions for women and health care providers considering midurethral mesh slings.
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