MUS: midurethral sling; SUI: stress urinary incontinence; BMI: body mass index; DO: detrusor overactivity; PVR: post-void residual volume; MUCP: Maximum urethral closure pressure; ICIQ: International Consultation on Incontinence (short form); OAB: overactive bladder; IVS: intravaginal sling; TVT-O: trans-vaginal tape-obturator; UTI: urinary tract infection; CISC: clean intermittent self-catheterization; PVS: pubovaginal sling
A Cochrane review concluded that MUS have similar efficacy to traditional pubovaginal slings
, but with the advantages of shorter operating time, less postoperative voiding dysfunction, and fewer de novo urgency symptoms.
The sling is installed loosely without any of the fussing over appropriate sling tension entailed in traditional pubovaginal sling
The investigators assumed that all patients with genuine or mixed incontinence or intrinsic sphincter deficiency would get a pubovaginal sling
in addition to any prolapse repair procedure.
Half of all women who fail treatment for urinary incontinence with pubovaginal sling
surgery may be cured by repeating the sling procedure, results of a small trial suggest.
Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings
, and midurethral tapes in the surgical treatment of female stress urinary incontinence.