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

被引：0

作者：

Fontenot P.A., Jr ^{[1
]}

Padmanabhan P. ^{[1
]}

机构：

[1] Department of Urology, University of Kansas Health System, 3901 Rainbow Blvd. MS 3016, Kansas City, 66160, KS

来源：

Current Bladder Dysfunction Reports | 2018年 / 13卷 / 3期

关键词：

Mid-urethral sling; Pubovaginal sling; Sling failure; Urinary incontinence;

D O I：

10.1007/s11884-018-0468-1

中图分类号：

学科分类号：

摘要：

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. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

引用

页码：93 / 100

页数：7

共 41 条

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