Reoperative Anti-incontinence Surgery

  • Brian J. Linder
  • Daniel S. ElliottEmail author


Reoperative anti-incontinence surgery can be a challenging clinical entity. A thorough evaluation of persistent or recurrent urinary incontinence, including a history, physical exam, and additional diagnostic testing is needed to determine the onset and severity of leakage, previous treatments, contributing etiologies and health of the underlying urethral tissue. With regard to technique, repeat anti-incontinence surgery ranges from cases with near standard anatomy and easily identifiable tissues that differ little from the original operation, to those with obliterated tissue planes, as in the setting of previous radiation or extensive tissue destruction from prior dissection and local infections. Here in, we present a stepwise approach to management of the most common scenarios for repeat anti-incontinence surgery.


Urinary incontinence Artificial urinary sphincter Urethral sling Revision Device infection Failure 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of UrologyMayo ClinicRochesterUSA

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