Surgery for stress urinary incontinence (SUI) is generally well tolerated with excellent cure rates for either retropubic or transobturator mesh slings. Voiding dysfunction, bladder perforation, vascular and/or visceral injury as well as operative blood loss are more common with retropubic slings. Groin pain, sometimes debilitating, is more common with transobturator slings. Autologous fascial bladder slings are appropriate in women with severe SUI and a nonmobile, fixed urethra (generally secondary to scarring from previous surgery), urethral diverticula or fistula, or complications from previously placed vaginal mesh.
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presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.