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Current Bladder Dysfunction Reports

Erschienen in:

07.07.2018 | Stress Incontinence and Prolapse (S Reynolds, Section Editor)

Management of Recurrent Stress Urinary Incontinence After Failed Mid-Urethral Sling Placement

verfasst von: Philip A. Fontenot Jr, Priya Padmanabhan

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 3/2018

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Abstract

Purpose of Review

Our objective is to review the current literature on recurrent stress urinary incontinence after mid-urethral sling placement, focusing on evidence-based management considerations for this complex clinical problem.

Recent Findings

Conservative, minimally invasive surgical therapies are currently available for management of persistent or recurrent SUI after a previous mid-urethral sling (MUS).

Summary

Our review of the literature does not show a clear benefit of one approach over others and emphasizes that the ideal management for these complex patients should be determined using an individualized approach with a detailed discussion of patient symptoms, past surgical history, and goals. For symptomatic patients who are surgical candidates and desire intervention, trans-urethral bulking agents, repeat retropubic (RP) MUS, or salvage autologous pubovaginal (PV) sling appear to be the most well-described management strategies.

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Titel: Management of Recurrent Stress Urinary Incontinence After Failed Mid-Urethral Sling Placement
verfasst von: Philip A. Fontenot Jr
Priya Padmanabhan
Publikationsdatum: 07.07.2018
Verlag: Springer US
Erschienen in: Current Bladder Dysfunction Reports / Ausgabe 3/2018
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-018-0468-1

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Management of Recurrent Stress Urinary Incontinence After Failed Mid-Urethral Sling Placement

Abstract

Purpose of Review

Recent Findings

Summary

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Recent Findings

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