Midurethral slings are an effective treatment method for stress urinary incontinence (SUI). Although success rates can be as high as 90%, the remaining patients with disappointing results may require further surgical intervention. In particular, those patients with persistent SUI may need further revision of the existing sling. Literature is limited in the optimal treatment of these patients.
Five patients who underwent midurethral slings for SUI and had subsequent sling revision were included in this analysis. The technique of revision is outlined in this article. Subsequently, these patients had greatly improved continence.
Our patients did benefit from this method of sling revision. Further information on sling revisions with increased patient populations would allow us to make appropriate recommendations.
Female pelvic medicine & reconstructive surgery. 2016 May 11 [Epub ahead of print]
Nima M Shah, Cynthia D Hall
From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA and †Female Pelvic Medicine and Reconstructive Surgery, UMass Memorial Medical Center, Worcester, MA.