Journal article
Safety considerations for synthetic sling surgery
Nature reviews. Urology, v 12(9), pp 481-509
01 Sep 2015
PMID: 26282209
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Implantation of a synthetic midurethral sling (SMUS) is the most commonly performed anti-incontinence operation in women worldwide. The effectiveness of the SMUS is comparable to that of the historical gold standards-autologous fascial slings and the Burch colposuspension. Much controversy, however, has evolved regarding the safety of this type of sling. Overall, the quality of the studies with respect to assessing risks of SMUS-associated complications is currently poor. The most common risks in patients with SMUS include urethral obstruction requiring surgery (2.3% of patients with SMUS), vaginal, bladder and/or urethral erosion requiring surgery (1.8%) and refractory chronic pain (4.1%); these data likely represent the minimum risks. In addition, the failure rate of SMUS implantation surgery is probably at least 5% in patients with stress urinary incontinence (SUI). Furthermore, at least one-third of patients undergoing sling excision surgery develop recurrent SUI. Considering the additional risks of refractory overactive bladder, fistulas and bowel perforations, among others, the overall risk of a negative outcome after SMUS implantation surgery is >= 15%.
Metrics
Details
- Title
- Safety considerations for synthetic sling surgery
- Creators
- Jerry G. Blaivas - Cornell UniversityRajveer S. Purohit - Cornell UniversityMatthew S. Benedon - Cornell UniversityGabriel Mekel - Hahnemann University HospitalMichael Stern - SUNY Downstate Coll Med, Brooklyn, NY 11203 USAMubashir Billah - SUNY Downstate Health Sciences UniversityKola Olugbade - SUNY Downstate Health Sciences UniversityRobert Bendavid - Thornhill MedicalVladimir Iakovlev - St. Michael's Hospital
- Publication Details
- Nature reviews. Urology, v 12(9), pp 481-509
- Publisher
- NATURE PORTFOLIO
- Number of pages
- 29
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000361850300003
- Scopus ID
- 2-s2.0-84941188367
- Other Identifier
- 991021864440704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Urology & Nephrology