2016, Number 12
Ginecol Obstet Mex 2016; 84 (12)
Devakumar H, Davila GW
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ABSTRACTMidurethral slings (MUS) have become the mainstay therapy for women with stress urinary incontinence (SUI). Due to the utilization of a standardized surgical technique, patient selection for each type of sling type is critical to optimizing success and minimize complications. Transobturator (TO) slings are most useful for mild to moderate severity SUI, while retropubic (RP) slings are indicated for greater severity SUI (intrinsic sphincteric deficiency). Complications are relatively minor with TO slings (groin pain) but can be more severe with RP slings where the needle passage is rather blind. Recent anti-mesh legal action in the US has expanded from prolapse to anti-SUI mesh usage. Long term data in safety and effectiveness of the MUS strongly supports the widespread use of this technique.