Synthetic midurethral slings (MUS) for the management of stress urinary incontinence (SUI) have come under intense scrutiny of late. The NICE (National Institute of Health and Clinical Excellence) guidelines for the management of urinary incontinence over the past 15 years have continued to be cautious in their recommendations of the obturator MUS whilst being supportive of the retropubic (RP) MUS. In the 2006 NICE clinical guidance (CG 40), the advice was to make women aware of the "lack of long-term data" for obturator MUS. In 2013 (CG 171), when this guidance was updated, the advice remained unchanged.
BJOG : an international journal of obstetrics and gynaecology. 2021 Sep 18 [Epub ahead of print]
Swati Jha
Consultant Gynaecologist and Honorary Senior Clinical Lecturer, Sheffield University. Subspecialist in Urogynaecology, Sheffield Teaching Hospitals, Tree Root Walk, Level 4, Jessop Wing, Sheffield, S10 2SF, UK.