The suburethral sling
procedure requires careful attention to patient selection, workup, surgical technique and avoidance of complications.
In the current literature, there were no randomised controlled trials evaluating the role of suburethral slings
at the time of abdominal prolapse surgery.
Peri-operative complications and pain after the suburethral sling
procedure for urinary stress incontinence: a French prospective randomised multicentre study comparing the retropubic and transobturator routes.
operations for urinary incontinence in women.
Mid-term complications after placement of the male adjustable suburethral sling
: a single center experience.
LOUIS -- Treatment of urinary incontinence by means of a pubic bone stabilization sling--a suburethral sling
that is anchored to the pubic bone using titanium screws--is highly effective and is not associated with an increased risk of osteomyelitis, according to findings from the largest prospective observational study to date.
Two serious concerns are implicit, but left unexplored in the Update on suburethral sling
Minimally invasive synthetic suburethral sling
operations appear to be as effective as traditional suburethral slings
for stress urinary incontinence, while requiring shorter operating time and producing less postsurgical voiding dysfunction and fewer de novo urgency symptoms, according to a Cochrane review published online.
A 52-year-old woman underwent a hysterectomy, bladder neck suspension to repair a cystocele, and implantation of a synthetic suburethral sling
, all performed by an ObGyn.
If the clinical situation warrants additional procedures, such as a posterior repair or a suburethral sling
for urinary incontinence, these can easily be performed after the robot is undocked.
* Placement of a suburethral sling
is controversial, but some experts believe that, to prevent stress incontinence, this intervention should be undertaken simultaneously with any other surgical treatment for diverticula of the proximal urethra