This case presents the work-up and management of a patient requesting surgical intervention for recurrent stress urinary incontinence after previous excision of a portion of her midurethral sling because of mesh exposure. Four international experts provide their approach to this complex case. There is little consensus regarding further surgery in a patient who has required mesh excision. Treatment by fascial sling was commonly considered and the literature review outlines the pros and cons of autologous fascia versus donor fascia for this specific case.
International urogynecology journal. 2020 Jun 26 [Epub ahead of print]
Erin A Brennand, Funda G Ugurlucan, Heidi W Brown, Stephen Jeffery, Patrick Campbell, Cara L Grimes, Ladin A Yurteri-Kaplan
Departments of Obstetrics & Gynecology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. ., Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul, Turkey., Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA., University of Cape Town, Cape Town, South Africa., Belfast Health and Social Care Trust, Northern Ireland, UK., Department of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, NY, USA., Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.