Female Pelvic Medicine and Reconstructive Surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases: Series 5: management of recurrent stress urinary incontinence after midurethral sling exposure

This case presents the work-up and management of a patient requesting surgical intervention for recurrent stress urinary incontinence after previous excision of a portion of her midurethral sling because of mesh exposure. Four international experts provide their approach to this complex case. There...

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Bibliographic Details
Published in:International Urogynecology Journal 2020-09, Vol.31 (9), p.1747-1754
Main Authors: Brennand, Erin A., Ugurlucan, Funda G., Brown, Heidi W., Jeffery, Stephen, Campbell, Patrick, Grimes, Cara L., Yurteri-Kaplan, Ladin A.
Format: Article
Language:English
Subjects:
Clinical Opinion
Gynecology
Medicine
Medicine & Public Health
Urology
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Description
Summary:This case presents the work-up and management of a patient requesting surgical intervention for recurrent stress urinary incontinence after previous excision of a portion of her midurethral sling because of mesh exposure. Four international experts provide their approach to this complex case. There is little consensus regarding further surgery in a patient who has required mesh excision. Treatment by fascial sling was commonly considered and the literature review outlines the pros and cons of autologous fascia versus donor fascia for this specific case.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-020-04385-3