Old wine into new wineskins: an update for female stress urinary incontinence
Autor: | Jonathan S. Shaw |
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Rok vydání: | 2019 |
Předmět: |
Reconstructive surgery
medicine.medical_specialty Urinary Incontinence Stress Urinary incontinence Sling (weapon) 03 medical and health sciences 0302 clinical medicine Urethra Urethral Diseases medicine Humans Minimally Invasive Surgical Procedures Suburethral Slings 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Surgical Mesh Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Sphincter Urologic Surgical Procedures Female medicine.symptom business |
Zdroj: | Current opinion in obstetricsgynecology. 31(6) |
ISSN: | 1473-656X |
Popis: | PURPOSE OF REVIEW To review minimally invasive modifications of traditional surgeries for female stress urinary incontinence (SUI) in light of increased demand. RECENT FINDINGS Prior to the synthetic mid-urethral sling (MUS), traditional procedures were used to correct SUI. Often these were retropubic colposuspension procedures for a hypermobile urethra and fascial slings for sphincter deficiency but fell out of favor because of increased morbidity compared with synthetic MUS. As controversy rages over use of mesh in female pelvic reconstructive surgery, more women desire nonmesh alternatives. Traditional approaches have been modified to enable colposuspensions and fascial slings to be performed minimally invasively without minimizing efficacy. SUMMARY Minimally invasive modifications to traditional procedures for SUI have been available for about a decade but interest has been recently reignited in the setting of patient concern over mesh. |
Databáze: | OpenAIRE |
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