Advertisement

Midurethral Synthetic Slings

  • Swati Jha
Chapter

Abstract

Midurethral slings gained popularity in the early part of the millennium almost completely replacing the colposuspension as the procedure of choice for stress urinary incontinence. Made of Type 1 polypropylene synthetic mesh it can be performed through one of two routes, retropubic or the obturator. With the recent adverse publicity surrounding synthetic mesh used vaginally, the procedure continues to be performed but with greater caution and emphasis is on patient counselling and consent as well as an adequate discussion of alternatives. This ensures patients who opt for this procedure are better informed of problems which have been described specially those that are unique to synthetic slings.

Keywords

Midurethral sling Tension free tape Obturator tape TVT TOT TVT-O Stress urinary incontinence 

References

  1. 1.
    Nilsson CG, Palva K, Aarnio R, Morcos E, Falconer C. Seventeen years’ follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J. 2013;24(8):1265–9.CrossRefPubMedGoogle Scholar
  2. 2.
    NICE CG171. The Management of Urinary Incontinence in Women; 2013. Ref Type: Generic.Google Scholar
  3. 3.
    The Scottish independent review of the use, safety and efficacy of transvaginal mesh implants in the treatment of stress urinary incontinence and pelvic organ prolapse in women, final report; 2017. Ref Type: Generic.Google Scholar
  4. 4.
    NICE IPG 566. Single-incision short sling mesh insertion for stress urinary incontinence in women; 2016. Ref Type: Generic.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynaecology, Jessop Wing, Sheffield Teaching Hospitals NHS TrustSheffieldUK

Personalised recommendations