Surgical Treatments for Women with Stress Urinary Incontinence: A Systematic Review.

Life (Basel)

Department of Obstetrics-Gynecology, INSMC Alessandrescu Russescu, 38-52 Gheorghe Polizu Str., 127715 Bucharest, Romania.

Published: June 2023

AI Article Synopsis

  • Stress urinary incontinence significantly impacts many women, prompting a review of surgical trends and outcomes related to treatment.
  • The study utilized network meta-analysis to compare the effectiveness and safety of common surgical procedures such as Burch surgery, midurethral sling, and pubovaginal sling.
  • Midurethral procedures are currently considered the gold standard, but the risk of serious complications highlights the need for better evaluation and individualized treatment plans for patients.

Article Abstract

Stress urinary incontinence affects a large proportion of women in their lifetime. The objective of this review was to describe and compare the latest surgical trends in urinary incontinence and focus on the literature advantages, disadvantages, complications and efficacy of surgical procedures regarding this pathology. Using network meta-analysis, we have identified the most frequently used procedures (Burch surgery, midurethral sling and pubovaginal sling), and we have described and characterized them in terms of effectiveness and safety. Midurethral procedures remain the gold standard for surgical treatment of stress urinary incontinence, although the potential of serious complications following this procedure should be taken into consideration always. There is a clear need for a much more unified evaluation of possible complications and postoperative evolution. This process will help practitioners to adapt and individualize their strategy for each patient.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381666PMC
http://dx.doi.org/10.3390/life13071480DOI Listing

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