Non-mesh Surgery for the Treatment of Stress Urinary Incontinence in Women_On Demand-Recording: Non-mesh Surgery for the Treatment of Stress Urinary Incontinence in Women

Recording: Non-mesh Surgery for the Treatment of Stress Urinary Incontinence in Women

Video Transcription

Video Summary

Dr. Peter Rosenblatt discusses non-mesh surgery options for the treatment of stress urinary incontinence (SUI) in women. He presents three main options: Burch procedure, autologous rectus fascial slings, and periurethral bulking. The Burch procedure involves sutures placed in the endopelvic fascia at the level of the mid urethra and the urethro-vesicle junction to provide support. Autologous rectus fascial slings support the bladder neck and proximal urethra using the patient's own tissue. Periurethral bulking involves injecting a bulking agent into the tissue around the urethra to improve co-optation and increase resistance. Dr. Rosenblatt discusses the indications, outcomes, and potential complications of each procedure. He highlights the need for urogynec surgeons to expand their surgical repertoire and provide patients with options beyond mid urethral slings. He also addresses the controversies surrounding mesh surgeries and the importance of explaining the difference between different treatment options to patients. Overall, non-mesh surgery options provide alternatives for patients who are mesh-averse or have specific clinical situations that call for different surgical procedures.

Keywords

non-mesh surgery

stress urinary incontinence

SUI

Burch procedure

autologous rectus fascial slings

periurethral bulking

endopelvic fascia

urethro-vesicle junction

urogynec surgeons