Synthetic Midurethral Slings: Roles, Outcomes, and Complications

Abstract

Synthetic midurethral sling placement is the most studied anti-incontinence procedure available. Multiple randomized trials demonstrate its safety and efficacy, with results out to 5 years. With long-term follow-up, it seems there may be some benefit in efficacy to retropubic sling placement compared with the transobturator approach. Single-incision slings are a newer modification to multi-incision sling placement, and the data regarding safety and efficacy are not as mature as other forms of sling placement. Complications may occur with mesh midurethral sling placement and surgeons performing these procedures should be comfortable with the diagnosis and management of these issues.

Keywords: Anti-incontinence surgery; Female; Midurethral sling; Retropubic sling; Stress urinary incontinence; Transobturator sling.