Prevention, diagnosis, and management of midurethral mesh sling complications

Midurethral slings (MUS) are a proven effective treatment option for stress urinary incontinence (SUI) and have become the gold standard in most centres in North America. MUS implantation can be associated with risks that are common to all anti-incontinence surgeries, and others which are unique. Th...

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Published inCanadian Urological Association journal Vol. 11; no. 6Suppl2; pp. S135 - S140
Main Authors Hengel, A Ross, Carlson, Kevin V, Baverstock, Richard J
Format Journal Article
LanguageEnglish
Published Canada Canadian Urological Association 01.06.2017
Canadian Medical Association
Subjects
Care and treatment
Complications and side effects
Diagnosis
Prevention
Review
Urinary incontinence
Urinary tract infections
Canada
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Summary:Midurethral slings (MUS) are a proven effective treatment option for stress urinary incontinence (SUI) and have become the gold standard in most centres in North America. MUS implantation can be associated with risks that are common to all anti-incontinence surgeries, and others which are unique. This article reviews the intraoperative and the early and late postoperative risks associated with these procedures, with insights into their prevention, diagnosis, and management drawn from the literature and expert opinion. In most cases, careful patient counselling before and after surgery, along with meticulous surgical technique, can mitigate risk and patient concern. Even in the best of hands, however, complications will occur, so surgeons must have a high index of suspicion and a low threshold to investigate.
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ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.4639