FIGO recommendations: Use of midurethral slings for the treatment of stress urinary incontinence.

Autor: Lau HH; MacKay Medical College, New Taipei City, Taiwan.; Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.; Department of Obstetrics and Gynecology, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.; MacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan., Davila GW; Center for Urogynecology and Pelvic Health, Holy Cross Medical Group, Fort Lauderdale, Florida, USA., Chen YY; Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.; Department of Obstetrics and Gynecology, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan., Sartori MGF; Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Jármy-Di Bella ZIK; Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Tsai JM; MacKay Medical College, New Taipei City, Taiwan.; College of Nursing and Health Sciences, Dayeh University, Changhua, Taiwan.; Department of Nursing, MacKay Memorial Hospital, Taipei, Taiwan., Liu YM; Department of Medical Research, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.; Division of Cardiology, Department of Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan., Su TH; MacKay Medical College, New Taipei City, Taiwan.; Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.; Department of Obstetrics and Gynecology, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.; Department of Nursing, MacKay Memorial Hospital, Taipei, Taiwan.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 May; Vol. 161 (2), pp. 367-385. Date of Electronic Publication: 2023 Feb 14.
DOI: 10.1002/ijgo.14683
Abstrakt: Background: Stress urinary incontinence (SUI) is a global problem. It can significantly adversely impact a woman's quality of life. The use of synthetic mesh in vaginal surgery is controversial, especially when used for pelvic organ prolapse surgery. Although negative effects have been reported, the synthetic mesh midurethral sling (MUS) is considered to be safe and effective in the surgical treatment of SUI.
Objectives: To provide evidence-based data and recommendations for the obstetrician/gynecologist who treats women with SUI and performs or plans to perform MUS procedures.
Methods: Academic searches of MEDLINE, the Cochrane Library, Embase, and Google Scholar articles published between 1987 and March 2020 were performed by a subgroup of the Urogynecology and Pelvic Floor Committee, International Federation of Gynecology and Obstetrics (FIGO).
Selection Criteria: The obtained scientific data were associated with a level of evidence according to the Oxford University Centre for Evidence-Based Medicine and GRADE Working Group system. In the absence of concrete scientific evidence, the recommendations were made via professional consensus.
Results: The FIGO Urogynecology and Pelvic Floor Committee reviewed the literature and prepared this evidence-based recommendations document for the use of MUS for women with SUI.
Conclusions: Despite the extensive literature, there is a lack of consensus in the optimal surgical treatment of SUI. These recommendations provide a direction for surgeons to make appropriate decisions regarding management of SUI. The MUS is considered safe and effective in the treatment of SUI, based on many high-quality scientific publications and professional society recommendations. Comprehensive long-term data and systemic reviews are still needed, and these data will become increasingly important as women live longer. These recommendations will be continuously updated through future literature reviews.
(© 2023 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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