Published in:
01-03-2015 | Stress Incontinence and Prolapse (R Dmochowski, Section Editor)
Avoiding and Managing Complications of Synthetic Midurethral Slings
Authors:
Mickey Karram, Elizabeth Timbrook Brown
Published in:
Current Bladder Dysfunction Reports
|
Issue 1/2015
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Abstract
Synthetic midurethral slings have become the most popular and efficacious surgical intervention for women suffering from urinary stress incontinence. They include retropubic, transobturator, and single-incision slings. Numerous studies have demonstrated that these procedures are minimally invasive with a very low morbidity. The most common complications include bladder perforation, mesh erosion, and voiding dysfunction, which can usually be appropriately managed without any significant long-term sequelae. Pain and dyspareunia will occur in a small percentage of women for a variety of reasons that will be discussed. Life-threatening complications such as vascular or bowel injury have been reported as rare complications of retropubic synthetic midurethral slings.