Retropubic and transobturator slings: Still useful or should all patients be treated with mini-slings? - Abstract

Charlotte Continence Center, McKay Department of Urology, 1023 Edgehill Road South, Charlotte, NC, 28207, USA.

 

Traditional retropubic and transobturator midurethral slings are reliable, safe, and effective treatments for stress urinary incontinence. Unfortunately, they also are associated with rare but severe complications, such as bladder or bowel perforation, vascular injury, nerve damage, and/or groin muscle pain that can occur with the blind passage of trocars. To maintain efficacy and patient satisfaction while avoiding such complications, minimally invasive mini-slings have been developed. These smaller mini-slings can be placed through a single vaginal incision at the level of the midurethra without trocars. Mini-slings often are performed as an outpatient surgery, with minimal morbidity, pain, and quick patient recovery. With continued refinement and surgeon experience, mini-slings potentially may be performed safely in the office setting under local anesthesia while maintaining the efficacy of traditional slings.

Written by:
Kennelly MJ, Myers EM.   Are you the author?

Reference: Curr Urol Rep. 2011 Jun 23. Epub ahead of print.
doi: 10.1007/s11934-011-0200-6

PubMed Abstract
PMID: 21698397

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