Cystourethroscopy following midurethral slings: is it always necessary?
- 29 Downloads
Midurethral slings are the mainstay of treatment for stress urinary incontinence. The role of cystourethroscopy to detect lower urinary tract injury following retropubic midurethral slings is well-established; however, its role following transobturator or single-incision sling placement remains controversial. Some advocate “routine” whereas others advocate for “selective” cystourethroscopy. This paper reviews the arguments for and against cystourethroscopy to detect lower urinary tract injury following transobturator and single-incision slings.
KeywordsBladder injury Cystoscopy Midurethral slings Pros–cons Risk–benefits Urethral injury
Compliance with ethical standards
Conflicts of interest
- 1.Chughtai BI, Elterman DS, Vertosick E, Maschino A, Eastham JA, Sandhu JS. Midurethral sling is the dominant procedure for female stress urinary incontinence: analysis of case logs from certifying American urologists. Urology. 2013;82(6):1267–71. https://doi.org/10.1016/j.urology.2013.07.0402013.CrossRefPubMedGoogle Scholar
- 8.Considerations about Surgical Mesh for SUI.: U.S. Food and Drug Administration; 2018. Available at: https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/UroGynSurgicalMesh/ucm345219.htm. Retrieved 6 February 2018.
- 12.Morton HC, Hilton P. Urethral injury associated with minimally invasive mid-urethral sling procedures for the treatment of stress urinary incontinence: a case series and systematic literature search. BJOG. 2009;116(8):1120–6. https://doi.org/10.1111/j.1471-0528.2009.02199.x.CrossRefPubMedGoogle Scholar
- 19.Kaelin-Gambirasio I, Jacob S, Boulvain M, Dubuisson J-B, Dällenbach P. Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up. BMC Womens Health. 2009;9:28. https://doi.org/10.1186/1472-6874-9-28.CrossRefPubMedPubMedCentralGoogle Scholar
- 23.Fan B, Zhang P, Han H, Xu Y, Wang B, Zhang X. Meta-analysis of female stress urinary incontinence treatments with adjustable single-incision mini-slings and transobturator tension-free vaginal tape surgeries. BMC Urol. 2015;15:64. https://doi.org/10.1186/s12894-015-0060-3.CrossRefPubMedPubMedCentralGoogle Scholar