2010
DOI: 10.1016/j.juro.2010.02.2369
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Update of AUA Guideline on the Surgical Management of Female Stress Urinary Incontinence

Abstract: The surgical management of stress urinary incontinence with or without combined prolapse treatment continues to evolve. New technologies have emerged which have impacted surgical treatment algorithms. Cystoscopy has been added as a standard component of the procedure during surgical implantation of slings.

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Cited by 237 publications
(194 citation statements)
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“…The American Urological Association's (AUA) recommendation is that "synthetic sling surgery is contraindicated in stress incontinent patients with a concurrent urethrovaginal fistula, urethral erosion, intraoperative urethral injury and/or urethral diverticulum." 4 Other, less common potential intraoperative complications include bowel injury (retropubic slings) and nerve injury.…”
Section: Bladder and Urethral Injuriesmentioning
confidence: 99%
“…The American Urological Association's (AUA) recommendation is that "synthetic sling surgery is contraindicated in stress incontinent patients with a concurrent urethrovaginal fistula, urethral erosion, intraoperative urethral injury and/or urethral diverticulum." 4 Other, less common potential intraoperative complications include bowel injury (retropubic slings) and nerve injury.…”
Section: Bladder and Urethral Injuriesmentioning
confidence: 99%
“…[24][25][26] In the presence of a urethral injury, sling placement is contraindicated, and the procedure can be undertaken after 6 weeks. 27 Bleeding with mid-urethral sling can occur either during the vaginal dissection or with needle passage and perforation of the transobturator space. The risk of bleeding in TOT is around 1%.…”
Section: Discussionmentioning
confidence: 99%
“…However, as the vast majority of incontinence procedures in contemporary practice consist of midurethral slings, this is the most relevant surgical procedure to discuss. 21 A systematic review and meta-analysis of midurethral slings in women with mixed urinary incontinence calculated a rather sobering overall subjective incontinence cure rate of 56% among women with a mean followup of approximately three years. 22 Overall success rates after midurethral slings are intuitively related to the degree of urgency incontinence (approximately 50% for urge predominant, 60% for equal mixed incontinence, and 80% for stress predominance), and just as in women with stress incontinence, the subjective success rates decline with time.…”
Section: Surgical Treatmentmentioning
confidence: 99%