Background: Midurethral slings are an effective treatment method for stress urinary incontinence (SUI). Although success rates can be as high as 90%, the remaining patients with disappointing results may require further surgical intervention. In particular, those patients with persistent SUI may need further revision of the existing sling. Literature is limited in the optimal treatment of these patients.
Case Series: Five patients who underwent midurethral slings for SUI and had subsequent sling revision were included in this analysis. The technique of revision is outlined in this article. Subsequently, these patients had greatly improved continence.
Conclusions: Our patients did benefit from this method of sling revision. Further information on sling revisions with increased patient populations would allow us to make appropriate recommendations.
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Female Pelvic Conditions: Urinary Incontinence.
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Urinary incontinence is the involuntary loss of urine. It is a prevalent and bothersome condition in females, with subtypes including stress, urge, mixed stress/urge, and overflow. Evaluation begins with a history to identify symptoms of the different subtypes and information about comorbid conditions, incontinence frequency and severity, and effect on quality of life.
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Importance: Limited evidence exists on the effect of combined native tissue vaginal prolapse repair with midurethral sling on urgency urinary incontinence (UUI) symptoms.
Objectives: This study aimed to evaluate the effect of combined native tissue vaginal prolapse repair with midurethral sling on UUI symptoms at 12 months postoperatively and identify risk factors for persistent UUI.
Study Design: This secondary analysis utilized data from a randomized trial comparing retropubic versus single-incision slings in women undergoing treatment of stress incontinence and vaginal prolapse with native tissue vaginal repair and midurethral sling.
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