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Am J Obstet Gynecol 2020 May 1;222(5):480.e1-480.e7. Epub 2020 Apr 1.

Department of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, University of Louisville, Louisville, KY.

Background: As a result of the vaginal mesh controversy, surgeons are performing more nonmesh, autologous fascia pubovaginal slings to treat stress urinary incontinence in women. The rectus abdominis fascia is the most commonly harvested site for autologous pubovaginal slings, so it is crucial that surgeons are familiar with the relationship between this graft harvest site and the ilioinguinal and iliohypogastric nerves, which can be injured during this procedure.

Objective: The aims of this study were as follows: (1) to estimate the safest area between the bilateral courses of the ilioinguinal and iliohypogastric nerves in which a rectus abdominis fascia graft could be harvested with minimal risk of injury to these nerves and (2) to determine the location and dimensions of a graft harvest site that maximized graft length while remaining close to the pubic symphysis. Read More

Female Pelvic Med Reconstr Surg 2020 Mar;26(3):162-172

Introduction And Hypothesis: Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery.

Methods: This report combines the input of members of the American Urogynecologic Society and the International Urogynecological Association, assisted by external referees. Extensive searches of the literature were performed, including Instructions for Use brochures and original source documents where possible. Read More

Int Urogynecol J 2020 Mar;31(3):465-478

Introduction And Hypothesis: Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery.

Methods: This report combines the input of members of the American Urogynecologic Society and the International Urogynecological Association, assisted by external referees. Extensive searches of the literature were performed, including Instructions for Use brochures and original source documents where possible. Read More

Urology 2020 Mar 27;137:190-195. Epub 2019 Dec 27.

Department of Urology, University of Arizona College of Medicine, Tucson, AZ. Electronic address:

Objective: To address renewed interest in nonmesh transvaginal Pelvic Organ Prolapse (POP) repair since the FDA reclassification of transvaginal mesh, our goal was to develop a transvaginal sacrospinous fixation for anterior and apical POP using only autologous fascia lata. We report our experience in 33 patients.

Methods: Autologous Anterior and Apical Pelvic Organ Prolapse (AAA-POP) repair utilizes a 4 × 14 cm piece of fascia lata harvested through a 3-4-inch upper thigh incision. Read More

Turk J Urol 2019 05 21;45(3):230-232. Epub 2018 Dec 21.

Department of Urology, Health Science University Haseki Training and Research Hospital, İstanbul, Turkey.

Objective: The aim of this study is to describe a novel transobturator midurethral sling surgery technique by using rectus abdominis fascia.

Material And Methods: A 54-year-old woman complaining of urinary leakage during effort was diagnosed as pure stress urinary incontinence after detailed questioning, pelvic examination, uroflowmetry and measurement of residual urine volume. She was anxious about complications related to synthetic meshes. Read More

Arch Esp Urol 2019 Nov;72(9):891-903

Médico y cirujano. Universidad del Rosario. Magister en Epidemiología Universidad del Rosario-Universidad CES. Profesor de carrera escuela de Medicina y Ciencias de la Salud. Universidad del Rosario. Bogotá D.C. Colombia.

Objective: Female urinary incontinence has a prevalence of up to 40%. Stress urinary incontinence is the most frequent type, about 50%. When primary management fails, it is unclear what the behavior should be. Read More

Low Urin Tract Symptoms 2020 Jan 13;12(1):2-7. Epub 2019 Aug 13.

Department of Surgery, Concord Repatriation General Hospital, University of Sydney and Macquarie University, Sydney, Australia.

The contemporary management of stress urinary incontinence (SUI) has seen renewed interest in the use of autologous fascia for the formation of a retropubic suburethral sling. Traditionally, it has been used in only the most severe of incontinence cases, such as those women with intrinsic sphincter deficiency, or in patients requiring concomitant reconstructive procedures. In the current climate surrounding transvaginal mesh, many doctors and patients are shying away from the less morbid synthetic midurethral sling. Read More

Res Rep Urol 2019 19;11:179-188. Epub 2019 Jun 19.

Department of Surgery and Epidemiology & Biostatistics, Western University, London, Ontario, Canada.

Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) affect many women in their lifetime. In this review, we describe and evaluate the latest treatment options for SUI and POP, including the controversy around transvaginal mesh (TVM) use. Growing evidence supports the utilization of pelvic floor muscle training as first-line treatment for both SUI and POP. Read More

Female Pelvic Med Reconstr Surg 2019 Jul 22. Epub 2019 Jul 22.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Objective: To compare perioperative and functional outcomes of autologous fascia lata versus rectus fascia pubovaginal sling in female patients with stress urinary incontinence (SUI).

Methods: The charts of all patients undergoing pubovaginal sling for SUI from 2012 to 2017 at a single center were retrospectively reviewed. Patients were divided into 2 groups: those with the sling harvested from the fascia lata (FL group) and those with the sling harvested from the rectus fascia (RF group). Read More

Neurourol Urodyn 2019 09 3;38(7):1889-1900. Epub 2019 Jul 3.

Department of Urology, UCLH, London, UK.

Aims: To assess the incidence and management of urodynamic stress urinary incontinence (USUI) in women undergoing transvaginal excision of a urethral diverticulum (UD) at our institution.

Methods: A prospective database, capturing patients undergoing urethral diverticulectomy over a 9-year period (May 2007 to August 2016), was reviewed focusing on USUI and subsequent management.

Results: One hundred patients underwent UD excision (with modified Martius labial fat-pad flap interposition). Read More

Urology 2019 09 20;131:71-76. Epub 2019 Jun 20.

Departments of Urology and Obstetrics & Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Objective: To investigate trends in stress urinary incontinence (SUI) surgery before and after the 2011 Foods and Drug Administration notification and the 2014 (American Urogynecologic Society [AUGS]/Society for Urodynamics Female Pelvic Medicine and Urogenital Reconstruction [SUFU]) position statement.

Methods: A retrospective chart review was performed to identify patients presenting for evaluation of SUI by 2 Female Pelvic Medicine and Reconstructive Surgery specialists between June 1, 2010 and May 31, 2017. Rates of surgical treatment modality (synthetic midurethral slings [MUS] versus autologous fascial pubovaginal sling versus bulking agents) were analyzed at 6-month intervals. Read More

Neurourol Urodyn 2019 08 2;38 Suppl 4:S21-S27. Epub 2019 May 2.

Department of Urology, Massachusetts General Hospital, Boston, Massachusetts.

Introduction: Stress urinary incontinence (SUI) is common in women and can significantly impact quality of life.

Methods: This is a review of the 6th International Consultation on Incontinence (ICI) chapter analyzing level of evidence on surgical treatment of SUI as well as the consensus algorithm that resulted from the detailed work in the committee report as of April 2017. Included studies in this review were selected to highlight the algorithm for management. Read More

Neurourol Urodyn 2019 06 18;38(5):1409-1416. Epub 2019 Apr 18.

Department of Urology, Western Health, University of Melbourne, Melbourne, Australia.

Aim: To determine the optimal degree of pubovaginal slings (PVS) tension, measured by lax sling dimensions to minimize the risk of urinary retention.

Methods: This prospective study analyzed female patients undergoing PVS for stress urinary incontinence (SUI) by two surgeons over 24 months from January 2016. Intra-operative measurements of lax sling dimensions tented over rectus fascia were recorded. Read More

Curr Urol Rep 2019 Mar 30;20(5):23. Epub 2019 Mar 30.

University of Pennsylvania Health System and Perelman School of Medicine, Philadelphia, PA, USA.

Purpose Of Review: The purpose of this paper is to review (1) the epidemiology and pathophysiology of pelvic organ prolapse (POP) and occult stress urinary incontinence (SUI), (2) examine the data on combined operative management of POP and occult SUI, (3) discuss the approaches to clinical decision making, and (4) present future therapies.

Recent Findings: Prospective data on many approaches to concomitant treatment of prolapse and occult stress urinary incontinence, such as minimally invasive sacrocolpopexy and midurethral sling, or older approaches that have regained favor among patients and clinicians wishing to avoid synthetic mesh, such as native tissue prolapse repair and pubovaginal sling, are limited. Safe durable treatments with absorbable graft materials that promote a beneficial host response are intriguing but may be far from clinical implementation. Read More

Low Urin Tract Symptoms 2019 Sep 22;11(4):206-210. Epub 2019 Mar 22.

Department of Urology, New York University Langone Health, New York, New York.

Objective: This study assessed stress urinary incontinence (SUI) outcomes after sling excision for urinary tract perforation or vaginal exposure, and compared the outcomes of concomitant versus staged autologous fascia pubovaginal sling (AFPVS).

Methods: A retrospective chart review of all patients who underwent midurethral sling (MUS) excision for urinary tract perforation or vaginal exposure at a tertiary referral center between 2010 and 2015 was performed. Therapeutic strategies were categorized as concomitant AFPVS, staged AFPVS, and no anti-incontinence procedure. Read More

Female Pelvic Med Reconstr Surg 2018 Oct 12. Epub 2018 Oct 12.

National Obstetric Fistula Centre, Abakaliki, Nigeria.

Objectives: The aim of this study was to compare the success rates of transvaginal retropubic urethropexy with fascia lata pubovaginal sling (PV sling) for treatment of postrepair urinary incontinence at a fistula center in Nigeria.

Methods: This was a retrospective review of 60 patients who had transvaginal retropubic urethropexy and 46 patients who had PV sling on account of postrepair incontinence at National Obstetric Fistula Centre, Abakaliki, Nigeria, between January 2014 and December 2016. Data were retrieved from the hospital records. Read More

Neurourol Urodyn 2019 08 7;38 Suppl 4:S51-S58. Epub 2018 Dec 7.

Chief Division of Female Urology, Pelvic Reconstructive Surgery & Voiding Dysfunction, Department of Urology | UC Irvine Health, Orange, California.

Aims: Stress urinary incontinence (SUI) is common in the adult females. Surgical treatment options include synthetic mid-urethral sling (MUS), autologous sling, bulking agents, and Burch colposuspension. The autologous pubovaginal sling (PVS) has re-emerged in response to complications of synthetic MUSs and FDA communications regarding the use of vaginal mesh. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Jan 30;54:31-40. Epub 2018 Oct 30.

Mercy Hospital for Women, Melbourne, Australia. Electronic address:

Mid-urethral sling procedures (MUS) have been the surgical option of choice for most gynaecologists and urologists treating stress urinary incontinence (SUI) in women around the world for almost 20 years, since their introduction in the late 1990s. The evidence suggests that the long-term effectiveness of the MUS is good and similar to the Burch Colposuspension and the fascial pubovaginal slings. The bulking agents are now being put forward as another minimally invasive option for the surgical treatment of SUI. Read More

Urol J 2019 May 5;16(2):193-197. Epub 2019 May 5.

Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries.

Materials And Methods: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Read More

Urol Clin North Am 2019 Feb;46(1):41-52

Department of Surgery, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. Read More

Rev Bras Ginecol Obstet 2018 Aug 24;40(8):477-490. Epub 2018 Aug 24.

Department of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective:  To compare surgical treatments for stress urinary incontinence in terms of efficiency and complications.

Data Sources:  We searched the MEDLINE and COCHRANE databases using the terms , and .

Selection Of Studies:  Forty-eight studies were selected, which amounted to a total of 6,881 patients with scores equal to or higher than 3 in the Jadad scale. Read More

Int Urogynecol J 2019 05 6;30(5):761-766. Epub 2018 Aug 6.

Department of Urology, Buddhist Tzu Chi General Hospital, 707 Chung-Yang Road, Section 3, Hualien, Taiwan, 970.

Introduction And Hypothesis: The suburethral sling procedure has been widely used as the first-line treatment for stress urinary incontinence (SUI) in women. Although the success rate is high, difficult urination and urine retention can occur in a small portion of patients. A transvaginal sling incision can solve this problem but recurrent SUI may occur. Read More

Asian J Urol 2018 Jul 14;5(3):141-148. Epub 2017 Sep 14.

Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.

Stress urinary incontinence is not a deadly disease, but for the large population of women suffering from it, it is a very important issue. Especially in the continuously aging population all over the world, there is more and more need for treatment of this serious medical condition. Treatment of female stress urinary incontinence exists already for ages. Read More

Int Urogynecol J 2019 07 3;30(7):1173-1178. Epub 2018 Jul 3.

Department of Obstetrics and Gynecology, University of California, Irvine, 333 City Blvd. West, Suite 1400, Orange, CA, 92868, USA.

Introduction And Hypothesis: The pubovaginal sling (PVS) dates to the 1940s as an efficacious surgical treatment for stress urinary incontinence (SUI). Recently, it has been replaced by the midurethral sling (MUS). Since 2008, international regulatory agencies increased regulation and issued warnings on vaginal mesh for repair of pelvic organ prolapse (POP), which has led to increased scrutiny of the MUS. Read More

Indian J Urol 2018 Apr-Jun;34(2):149-151

Department of Urology, PGIMER and Dr. RML Hospital, New Delhi, India.

Congenital short patulous urethra is a rare entity and may be associated with developmental anomalies of mullerian ducts or urogenital sinus. We report the management of two cases of congenital short patulous urethra with stress urinary incontinence (SUI). Both the patients presented with SUI; one was diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome and the other had uterus didelphys with longitudinally septated vagina. Read More

Int Urogynecol J 2018 09 11;29(9):1403-1405. Epub 2018 Apr 11.

Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: Autologous pubovaginal sling placement remains a treatment option in index patients, given high, long-term success rates. This video reviews the technical considerations for performing an autologous rectus fascia sling.

Methods: The patient is a 47-year-old woman with stress urinary incontinence (SUI) refractory to conservative management. Read More

Int Urogynecol J 2018 04 12;29(4):615. Epub 2018 Mar 12.

NHS Ayrshire & Arran, Scotland, Kilmarnock, UK.

Int Urogynecol J 2018 04 12;29(4):617. Epub 2018 Mar 12.

University of California Irvine, Irvine, CA, USA.

Dan Med J 2018 Feb;65(2)

This PhD thesis is based on three original articles. The studies were performed at the Department of Obstetrics and Gynaecology, Herlev University Hospital and at the Center for Clinical Epidemiology, Odense University Hospital. 
Urinary incontinence (UI) is a frequent disorder among women, which for the individual can have physical, psychological and social consequences. Read More

Female Pelvic Med Reconstr Surg 2019 Jul/Aug;25(4):294-297

Department of Biostatistics, Vanderbilt University, Nashville, TN.

Introduction: Stress urinary incontinence at a low bladder volume is a clinically observed phenomenon that is not well studied with regard to treatment outcomes. The primary aim of our study was to determine if the volume at first leak is associated with sling outcome.

Methods: This is a retrospective cohort study evaluating whether urodynamic stress urinary incontinence observed at low volumes is associated with sling failure using the Synthetic Derivative database. Read More

Sex Med Rev 2018 04 28;6(2):224-233. Epub 2017 Dec 28.

ABC Medical School, Santo André, SP, Brazil.

Introduction: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner.

Aim: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function.

Methods: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI). Read More

Int Urogynecol J 2018 02 22;29(2):177-178. Epub 2017 Nov 22.

Department of Obstetrics and Gynecology, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

J Urol 2017 12 14;198(6):1214-1219. Epub 2017 Sep 14.

Medicine (Baltimore) 2017 Sep;96(39):e7914

Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy.

The study reports a single center experience with surgical management of female pelvic organ prolapse (POP) with and without urinary incontinence.Between January 2006 and July 2016, 93 consecutive patients with anterior and/or apical symptomatic POP underwent abdominal sacrocolpopexy (ASC) or laparoscopic sacrocolpopexy (LSC) or pubovaginal cystocele sling (PCS); 25 patients had concomitant stress urinary incontinence (SUI). Subjective outcome was assessed by the Pelvic Floor Impact Questionnaire (short form) (PFIQ-7) investigating bladder, bowel and vaginal functions, sexual activity, and daily life. Read More

Can Urol Assoc J 2017 Aug;11(8):275-280

Division of Urology, CHU de Québec, Université Laval, Quebec City, QC, Canada.

Introduction: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-house two-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S147-S151

Section of Urology, Department of Surgery, University of Calgary, Calgary, AB; Canada.

The surgical management of female stress urinary incontinence (SUI) has evolved over the past century, using various techniques of retropubic colposuspensions and sling procedures. In the past two decades, the sling has become the mainstay of surgical treatment of SUI, with the synthetic midurethral sling (MUS) leading the way. With the recent concerns raised by the U. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S132-S134

Department of Urology, Dalhousie University, Halifax, NS; Canada.

Recent data has demonstrated a one in five lifetime risk of a woman requiring stress urinary incontinence (SUI) surgery. Currently, most women opt for a synthetic midurethral sling (MUS), with over 3.6 million placed worldwide. Read More

Eur Urol 2017 10 4;72(4):567-591. Epub 2017 May 4.

Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, Padua, Italy. Electronic address:

Context: Retropubic (RP-TVT) and transobturator miurethral (TO-TVT) midurethral sling (MUS) are popular surgical treatments for female stress urinary incontinence. The long-term efficacy and safety of the procedures is still a topic of intense clinical research and several randomised controlled trials (RCTs) have been published in the last years OBJECTIVE: To evaluate the efficacy and safety of MUS compared with other surgical treatments for female stress urinary incontinence.

Evidence Acquisition: A systematic review and meta-analysis of the literature was performed using the Medline, Scopus, and Web of Science databases to update our previously published analyses. Read More

Int Urogynecol J 2017 Aug 13;28(8):1257-1260. Epub 2017 Jan 13.

Division of Female Pelvic Medicine and Reconstructive Surgery, University of Cincinnati, Cincinnati, OH, USA.

Introduction And Hypothesis: Female urethral reconstruction via the traditional routes can be limiting for various reasons. Current literature on the use of acellular biologic grafts derived from viscera for female urethral reconstruction is limited. We present two cases of women with complete loss of their posterior urethra presenting for urethral reconstruction. Read More

Clin Exp Obstet Gynecol 2017 ;44(1):44-47

Objectives: To report the long-term outcome of tension-free vaginal tape (TVT) and pubovaginal sling (PVS) in the treatment of stress urinary incontinence (SUI) in female patients.

Materials And Methods: The long-term objective and subjective results of female patients who were previously randomized in a single blind study to two arms, TVT or PVS, between 2000 and 2004, were evaluated. The patients were asked if they were satisfied with the results of the procedure and if they would recommend it to a friend or relative. Read More

J Urol 2016 11 8;196(5):1478-1483. Epub 2016 Jun 8.

Department of Urology, Mayo Clinic, Rochester, Minnesota. Electronic address:

Purpose: To our knowledge there are no guidelines for the evaluation and management of incontinence in women with an orthotopic neobladder. We propose a treatment algorithm based on our experience with treating this patient population.

Materials And Methods: We identified women in whom orthotopic neobladder diversion and surgery for incontinence were performed from January 1, 1995 to January 1, 2014. Read More

J Clin Diagn Res 2016 Jul 1;10(7):PC01-3. Epub 2016 Jul 1.

Senior Registrar, Department of Urology, Lokmanya Tilak Municipal Medical College (LTMMC) , Mumbai, India .

Introduction: Female urethral injury is a rare disease. Causes of urethral injuries are prolonged obstructed labour, gynaecological surgeries like vaginoplasty and post traumatic urethral injuries. The present study was conducted to evaluate outcome of female urethral reconstruction using tubularized anterior vaginal wall flap covered with fibroadipose martius flap and autologous fascia sling in patients with urethral loss. Read More

Indian J Urol 2016 Jul-Sep;32(3):229-31

Department of Urology, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India.

Introduction: Proximal urethrovaginal fistula (UVF) located close to the bladder neck may cause extensive sphincter damage and is usually associated with continuous incontinence, which may mask the associated stress urinary incontinence (SUI). Simultaneous correction of SUI avoids a second surgery for SUI, which needs dissection in ischemic fields and carries a high risk of failure. The aim of this study is to describe our technique of concomitant repair of SUI with proximal UVF and our results. Read More

Neurourol Urodyn 2017 04 26;36(4):1155-1160. Epub 2016 Jul 26.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina.

Aims: To investigate the possible effects of the Food and Drug Administration (FDA) Public Health Notifications in 2008 and 2011 regarding surgical trends in transvaginal mesh (TVM) placement for stress urinary incontinence (SUI) and related mesh revision surgery in Female Pelvic Medicine & Reconstructive Surgery (FPMRS) practice in tertiary care academic medical centers in the United States.

Methods: Surgical volume for procedures performed primarily by FPMRS surgeons at eight academic institutions across the US was collected using Current Procedural Terminology (CPT) codes for stress urinary incontinence repair and revision surgeries from 2007 to 2013. SAS statistical software was used to assess for trends in the data. Read More

Oncol Lett 2016 Aug 8;12(2):1083-1084. Epub 2016 Jun 8.

Department of Urology and Renal Transplantation, University of Foggia, Foggia I-71100, Italy.

Surgicel is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving oxidized cellulose. Read More

J Urol 2016 04 25;195(4 Pt 1):1040-1. Epub 2016 Jan 25.

J Urol 2016 Aug 17;196(2):484-9. Epub 2016 Mar 17.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina. Electronic address:

Purpose: We reviewed the outcomes of the autologous fascial pubovaginal sling as a salvage procedure for recurrent stress incontinence after intervention for polypropylene mesh erosion/exposure and/or bladder outlet obstruction in patients treated with prior transvaginal synthetic mesh for stress urinary incontinence.

Materials And Methods: In a review of surgical databases at 2 institutions between January 2007 and June 2013 we identified 46 patients who underwent autologous fascial pubovaginal sling following removal of transvaginal synthetic mesh in simultaneous or staged fashion. This cohort of patients was evaluated for outcomes, including subjective and objective success, change in quality of life and complications between those who underwent staged vs concomitant synthetic mesh removal with autologous fascial pubovaginal sling placement. Read More

Neurourol Urodyn 2017 02 7;36(2):518-528. Epub 2016 Mar 7.

Department of Obstetrics and Gynaecology, St George's University Hospital NHS Foundation Trust, London, United Kingdom.

Aims: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group.

Methods: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies. Read More

Abdom Radiol (NY) 2016 06;41(6):1178-86

Department of Radiology, University of California, Irvine School of Medicine, Orange, CA, USA.

Stress urinary incontinence (SUI) is a condition in which the weakness of the pelvic floor muscles causes unintentional loss of urine. For patients who are unable to achieve symptomatic improvement from lifestyle modification and pharmacotherapy, surgical placement of the pelvic slings or the use of urethral bulking agents has been shown to provide tremendous symptomatic improvement. Learning to recognize the pelvic slings and to identify their complications on imaging is invaluable; however, this is challenging because of the change in the local anatomy after surgical placement of the sling. Read More

Res Rep Urol 2016 18;8:11-20. Epub 2016 Jan 18.

Department of Urology, Queen Elizabeth Hospital, Birmingham, UK.

Stress urinary incontinence (SUI) is an under-diagnosed problem affecting up to 50% of women worldwide. SUI is a source of psychological distress to the individual and also imposes a financial burden to the individual and the health care system. The role of surgery in the treatment in SUI has evolved steadily in the last two decades. Read More