SUFU 2018: Midurethral Sling Removal: Just The First Step?

Austin, TX (UroToday.com) Dr. Casey G Kowalik and colleagues presented a retrospective study examining 80 women undergoing synthetic midurethral sling (MUS) revision between 2011 and 2016. They looked at post-sling removal pain and incontinence, including additional surgical treatments for urinary incontinence. The mean follow up for this study was 24.4 months (range 3-68 months).

After MUS removal, 35% of women presented with recurrent stress incontinence, while 71% presented with urgency or urge urinary incontinence. 25% of the cohort underwent subsequent surgical treatment for stress incontinence. Another 21 patients had additional procedures for urgency and urge incontinence. 11% of patients developed new pain after MUS removal.

This study found that many women will present with continued or new incontinence symptoms, requiring further surgical treatment. In most patients, pain will resolve, but some women may develop new pelvic pain after the sling removal.

Presenter by: Casey G Kowalik MD

Authors: Casey G Kowalik MD, Benjamin M Dropkin MD, Jorge Jaunarena MD, Sophia Delpe MD, W. Stuart Reynolds MD, MPH, Roger R Dmochowski MD and Melissa R Kaufman MD, PhD, Vanderbilt University, Nashville, TN

Written by: Cristina Palmer, DO. Female Urology, Pelvic Reconstruction, Voiding Dysfunction Fellow, Department of Urology, UC Irvine Medical Center, Orange, California at the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction Winter Meeting (SUFU 2018), February 27-March 3, 2018, Austin, Texas

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