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Risks and benefits of sling procedures
Author(s) -
Chaliha Charlotte,
Stanton Stuart L.
Publication year - 2004
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.6.1.26.26971
Subject(s) - sling (weapon) , medicine , surgery , broad spectrum , urinary incontinence , complication , surgical procedures , combinatorial chemistry , chemistry
Over the past century over 150 operations have been described for the treatment of urodynamic stress incontinence. The spectrum of operative approaches that are used reflect its variety of causes. Classical sling procedures provide bladder neck support, permitting urethral compression or kinking with increases in intra‐abdominal pressure and decreasing voiding dysfunction. There are well‐documented complications associated with sling procedures. Modifications of operative technique and sling materials, in particular the tension‐free vaginal tape, have lowered complication rates and operative morbidity. This article discusses potential benefits and risks associated with different surgical options, to aid selection of the most appropriate treatment for any individual.