Non-mesh Surgery for the Treatment of Stress Urinary Incontinence in Women_On Demand-Presentation Slides

Presentation Slides_Handout

Pdf Summary

The document from August 16, 2023, discusses non-mesh surgery options for stress urinary incontinence (SUI). The objective of the document is to highlight the need for urogyn surgeons to expand their surgical repertoire beyond midurethral synthetic slings. It describes the indications and potential complications for various non-mesh surgical options, including colposuspension, fascial slings, and periurethral injections. The document also compares the short and long-term success rates of synthetic slings to non-mesh surgeries for SUI.<br /><br />The document presents data on the decreasing volume of sling procedures for SUI from 2015 to 2021, indicating potential changes in the SUI market. It also emphasizes the significance of polypropylene mesh midurethral slings as a standard of care for SUI.<br /><br />Several non-mesh surgical options are discussed, including open and laparoscopic/robotic Burch colposuspension, autologous fascial slings, and periurethral bulking. The document provides detailed descriptions and images of each procedure, along with their indications and perioperative considerations.<br /><br />Comparative studies are mentioned, highlighting the success rates and complications of each surgical option. The document also touches upon the use of periurethral bulking agents, their mechanism of action, indications, and potential complications.<br /><br />Overall, the document informs healthcare professionals about the available non-mesh surgical options for SUI and emphasizes the need for individualized treatment decisions based on patient characteristics and preferences.

Keywords

non-mesh surgery

stress urinary incontinence

urogyn surgeons

midurethral synthetic slings

colposuspension

fascial slings

periurethral injections

success rates

complications

polypropylene mesh slings