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World Journal of Urology

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01-09-2015 | Topic Paper

The role of bladder neck suspension in the era of mid-urethral sling surgery

Authors: T. G. Rashid, D. De Ridder, F. Van der Aa

Published in: World Journal of Urology | Issue 9/2015

Abstract

Introduction

Mid-urethral slings are currently considered to be the gold standard for the surgical treatment of stress urinary incontinence, replacing bladder neck suspension techniques which previously occupied this position. In recent years, however, there have been concerns with regard to the use of synthetic material in vaginal surgery.

Methods

We performed a review of the literature to discuss the role of bladder neck suspension techniques in the current clinical setting.

Conclusions

Bladder neck suspension techniques consist of vaginal techniques, needle suspension techniques and retropubic techniques. The latter two techniques have been proven to offer durable outcomes for stress urinary incontinence. As compared to autologous slings, the long-term success rates may be considered inferior, but so is the rate of complication, resulting in higher patient satisfaction. Bladder neck suspension techniques may have a role in treating recurrent and/or persisting stress urinary incontinence after (failed) sling surgery and remain of particular interest in patients with stress urinary incontinence when performing concomitant surgery, for example for prolapse.

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Title: The role of bladder neck suspension in the era of mid-urethral sling surgery
Authors: T. G. Rashid
D. De Ridder
F. Van der Aa
Publication date: 01-09-2015
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 9/2015
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-015-1622-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The role of bladder neck suspension in the era of mid-urethral sling surgery

Abstract

Introduction

Methods

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Conclusions

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