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Midurethral Slings for Stress Urinary Incontinence


Clinical Obstetrics and Gynecology: March 2008 - Volume 51 - Issue 1 - p 124-135
doi: 10.1097/GRF.0b013e318161e687
New Technology in Gynecology

Midurethral synthetic slings for female stress urinary incontinence are minimally invasive polypropylene mesh tapes, which are inserted under the midurethra with trocars. In the last decade this new technology has become the most commonly performed procedure for female stress urinary incontinence, replacing the traditional open procedures. Using only 3 small incisions, these outpatient procedures can be performed under local anesthesia with conscious sedation. Retropubic and transobturator approaches will be reviewed along with a review of efficacy, comparative studies, complications, and use in many different clinical situations.

*Department of Reproductive Medicine

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Reproductive Medicine, University of California, San Diego, California

Correspondence: Prof Charles W. Nager, MD, 9350 Campus Point Dr, Mail Code 0974, La Jolla, CA 92037-0974. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.