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Indications, Contraindications, and Complications of Mesh in the Surgical Treatment of Urinary Incontinence

KIRBY, ANNA C. MD; NAGER, CHARLES W. MD

Clinical Obstetrics and Gynecology: June 2013 - Volume 56 - Issue 2 - p 257–275
doi: 10.1097/GRF.0b013e31828563d2
Devices and Meshes for the Surgical Treatment of Prolapse and Incontinence

The most commonly performed surgeries for stress urinary incontinence are full-length mesh midurethral slings. This chapter will review the indications, contraindications, and complications related to the use of these mesh midurethral slings. Unlike transvaginal mesh for prolapse, complications related to mesh midurethral slings are low and less than the complication rates with previous traditional continence surgeries. Given their safety profile and efficacy, full-length mesh midurethral slings have been rapidly adopted and remain the current standard of care for stress urinary incontinence surgical treatment.

UC San Diego Health Care System, Division of Urogynecology, Department of Reproductive Medicine, La Jolla, California

The authors declare that they have nothing to disclose.

Correspondence: Charles W. Nager, MD, UC San Diego Health Care System, Division of Urogynecology, Department of Reproductive Medicine, La Jolla, CA. E-mail: cnager@mail.ucsd.edu

© 2013 by Lippincott Williams & Wilkins.