Premium
Do we have adequate data to construct a valid algorithm for management of synthetic midurethral sling complications? ICI‐RS 2019
Author(s) -
Giarenis Ilias,
Anding Ralf,
Chermansky Christopher,
Greenwell Tamsin,
Cardozo Linda,
Harding Christopher
Publication year - 2020
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24299
Subject(s) - medicine , sling (weapon) , urinary incontinence , multidisciplinary approach , classification scheme , randomized controlled trial , surgery , computer science , social science , sociology , information retrieval
Background Synthetic midurethral sling (MUS) procedures, purported for the last two decades as the gold standard surgical treatment for stress urinary incontinence, have been in creasingly scrutinized in recent years with regard to the rate and severity of complications. Methods During the International Consultation on Incontinence Research Society meeting held in Bristol, UK, in 2019, a multidisciplinary panel held a think tank and discussed the contemporary evidence pertaining to the classification, investigation, and treatment of MUS complications. Results The current classification system of mesh‐related complications was discussed, and shortcomings were identified. The lack of a standardized clinical pathway was noted, and the value of clinical investigations and surgical treatments was difficult to fully evaluate. The paucity of high‐level evidence was a common factor in all discussions, and the difficulties with setting up relevant randomized‐controlled trials were highlighted. Conclusions The outcome of the think‐tank discussions is summarized with a set of recommendations designed to stimulate future research.