Managing Complications after Midurethral Sling …

Eau-ebu update series 5 (2007) 232 240. available at journal homepage: Managing Complications after Midurethral Sling for Stress Urinary Incontinence Elisabetta Costantini *, Massimo Lazzeri, Massimo Porena Department of Medical-Surgical Specialties and Public Health, Section of Urology and Andrology, University of Perugia, Perugia, Italy Article info Abstract Keywords: Since Ulmsten and Petros's original description of the tension-free Complications vaginal tape (TVT) procedure in 1995, the Midurethral Sling (MUS) has Midurethral Sling become first-line therapy for correction of female stress urinary incon- Stress urinary incontinence tinence (SUI). Cure rates are high for TVT and the recent tension-free Therapy trans-obturator tape (TOT) procedures, and the incidence of side effects is low. In the past few years although several studies have dealt with the incidence and prevalence of MUS-related Complications , their surgical management remains an open issue. This paper presents the rationale for surgical management of MUS-linked Complications , updates pro- gress in new strategies, and tracks translation of recommendations on vaginal and urethral erosion, postoperative voiding difficulties, and de novo urgency into clinical practice.

Managing Complications after Midurethral Sling for Stress Urinary Incontinence Elisabetta Costantini*, Massimo Lazzeri, Massimo Porena Department of Medical-Surgical Specialties and Public Health, Section of Urology and Andrology, University of Perugia, Perugia, Italy

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