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Synthetic mid-urethral slings for the treatment of stress urinary incontinence in women with neurogenic lower urinary tract dysfunction: a systematic review
Synthetic mid-urethral slings for the treatment of stress urinary incontinence in women with neurogenic lower urinary tract dysfunction: a systematic review
- Source :
- International urogynecology journal. 33(4)
- Publication Year :
- 2021
-
Abstract
- The aim of our study was to evaluate the efficiency and safety of synthetic mid-urethral slings (sMUS) for the treatment of stress urinary incontinence (SUI) in women with neurogenic lower urinary tract dysfunction (NLUTD). A systematic review was performed and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. MEDLINE, Embase and Cochrane controlled trials databases were systematically searched from January 1995 to April 2021. Studies including adult women with NLUTD who had a sMUS for SUI were considered for inclusion. Primary outcome was success of the surgery according to study criteria. Secondary outcomes were complications, especially de novo urgency, urinary retention, tape exposure and revision for complications. A total of 752 abstracts were screened and 9 studies were included, representing 298 patients. The mean age was 52 years and median follow-up was 41.3 months. sMUS insertion was successful in 237 patients (79.5%). The median rate of de novo urgency was 15.7% (range 8.3–30%). In patients with spontaneous voiding, the median rate of retention was 19.3% (range 0–46.7%) and 21 out of 26 patients required intermittent self-catheterisation. Four cases of tape exposure were reported, and 8 patients underwent a revision for complications. This review suggests that sMUS might offer interesting success rates and acceptable morbidity and could be considered for the treatment of SUI in women with NLUTD. Further studies are required to define which patients would be more likely to benefit from this intervention, as well as its place among the other surgical treatments for SUI.
- Subjects :
- Adult
Male
medicine.medical_specialty
Urology
Urinary system
Urinary Incontinence, Stress
Urinary Bladder
MEDLINE
Urinary incontinence
Adult women
Internal medicine
medicine
Humans
Neurogenic bladder dysfunction
Suburethral Slings
Urinary retention
business.industry
Obstetrics and Gynecology
Middle Aged
medicine.disease
Urethral Sling
Systematic review
Treatment Outcome
Urologic Surgical Procedures
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 14333023
- Volume :
- 33
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- International urogynecology journal
- Accession number :
- edsair.doi.dedup.....934d8b0c3af2e32dc935d0d5cac4874b