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Surgery insight: management of failed sling surgery for female stress urinary incontinence.
Nat Clin Pract Urol. 2006 Dec; 3(12):666-74.NC

Abstract

Sling surgery has replaced Burch colposuspension as the most common surgery for women with stress urinary incontinence (SUI). While incontinence surgery has become a routine part of urologic care, the management of surgical complications and recurrent incontinence can be quite difficult. It is important that the urologic surgeon is well informed about the most common complications that are associated with sling surgery, and how to best manage them. In addition, the management of recurrent incontinence following sling surgery should follow a stepwise approach, with appropriate diagnostic studies, conservative treatment if possible, and surgery if necessary. While sling surgery in the patient with urethral hypermobility is often straightforward, reoperation for recurrent incontinence can be more technically challenging. In the patient with a fixed and incompetent urethra, periurethral bulking agents, pubovaginal sling, spiral sling, or artificial urinary sphincter placement may be indicated.

Authors+Show Affiliations

Section of Urology, University of Arizona Health Sciences Center, Box 245077, 1501 North Campbell Avenue, Tucson, AZ 85724, USA. ccomiter@u.arizona.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17149383

Citation

Comiter, Craig V.. "Surgery Insight: Management of Failed Sling Surgery for Female Stress Urinary Incontinence." Nature Clinical Practice. Urology, vol. 3, no. 12, 2006, pp. 666-74.
Comiter CV. Surgery insight: management of failed sling surgery for female stress urinary incontinence. Nat Clin Pract Urol. 2006;3(12):666-74.
Comiter, C. V. (2006). Surgery insight: management of failed sling surgery for female stress urinary incontinence. Nature Clinical Practice. Urology, 3(12), 666-74.
Comiter CV. Surgery Insight: Management of Failed Sling Surgery for Female Stress Urinary Incontinence. Nat Clin Pract Urol. 2006;3(12):666-74. PubMed PMID: 17149383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgery insight: management of failed sling surgery for female stress urinary incontinence. A1 - Comiter,Craig V, PY - 2006/08/28/received PY - 2006/10/18/accepted PY - 2006/12/7/pubmed PY - 2007/1/11/medline PY - 2006/12/7/entrez SP - 666 EP - 74 JF - Nature clinical practice. Urology JO - Nat Clin Pract Urol VL - 3 IS - 12 N2 - Sling surgery has replaced Burch colposuspension as the most common surgery for women with stress urinary incontinence (SUI). While incontinence surgery has become a routine part of urologic care, the management of surgical complications and recurrent incontinence can be quite difficult. It is important that the urologic surgeon is well informed about the most common complications that are associated with sling surgery, and how to best manage them. In addition, the management of recurrent incontinence following sling surgery should follow a stepwise approach, with appropriate diagnostic studies, conservative treatment if possible, and surgery if necessary. While sling surgery in the patient with urethral hypermobility is often straightforward, reoperation for recurrent incontinence can be more technically challenging. In the patient with a fixed and incompetent urethra, periurethral bulking agents, pubovaginal sling, spiral sling, or artificial urinary sphincter placement may be indicated. SN - 1743-4289 UR - https://www.unboundmedicine.com/medline/citation/17149383/Surgery_insight:_management_of_failed_sling_surgery_for_female_stress_urinary_incontinence_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=17149383.ui DB - PRIME DP - Unbound Medicine ER -