Suitability of different sling materials for the treatment of female stress urinary incontinence

Kathleen C. Kobashi, Kenneth C. Hsiao, Fred E. Govier

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Stress urinary incontinence (SUI) is defined as leakage of urine with a sudden increase in intra-abdominal pressure, such as that seen with laughing, lifting, or changing position, without a concomitant rise in detrusor (bladder-generated) pressure. The proposed mechanism of SUI is that an increase in intra-abdominal pressure resulting from various activities causes the bladder pressure to rise above the urethral pressure. The pubovaginal sling remains the standard treatment for female SUI in the US. The market has been flooded with innumerable sling materials. This review discusses the currently available sling materials, surgical approaches, and clinical outcomes data. Long-term data on efficacy is lacking, but early results with new materials and delivery techniques indicate that excellent cure rates with minimal morbidity and high patient satisfaction may be achievable.

Original languageEnglish (US)
Pages (from-to)84-91
Number of pages8
JournalNature Clinical Practice Urology
Volume2
Issue number2
DOIs
StatePublished - Feb 2005

Keywords

  • Anti-incontinence
  • Pubovaginal sling
  • Stress urinary incontinence

ASJC Scopus subject areas

  • Urology

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