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Current Overview of Surgical Options for Female Stress Urinary Incontinence

International Neurourology Journal 2020년 24권 3호 p.222 ~ 230
김아람, 김세환, 김형곤,
소속 상세정보
김아람 ( Kim A-Ram ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Urology
김세환 ( Kim Se-Hwan ) - Dankook University College of Medicine Department of Biomedical Engineering
김형곤 ( Kim Hyeong-Gon ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Urology

Abstract


Stress urinary incontinence (SUI) is a highly prevalent health condition that significantly impacts the quality of life. Traditional methods of treatment for SUI, such as pubovaginal sling and Burch colposuspension, have been replaced by the midurethral sling because of its high efficacy, low complication and morbidity rates, and short learning curve. Although multiple behavioral and operative treatments exist, midurethral slings are the gold standard for the treatment of SUI in women. However, several reports have raised concerns about complications caused by the synthetic mesh used in midurethral slings. Therefore, surgical treatment for SUI in women must be chosen with care, taking into account potential complications. Herein, we review the current safety issues pertaining to the use of meshes, the efficacy of traditional surgeries, old and new midurethral slings, and recent data comparing the efficacy and safety of different surgical options. This review is aimed at developing practical guidelines for choosing surgical options for women with SUI.

키워드

Pubovaginal sling; Burch colposuspension; Midurethral slings; Mesh complication; Stress urinary incontinence

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