Update on complications of synthetic suburethral slings

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Vol. 43 (x): 2017 January 1.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2016.0250


REVIEW ARTICLE

Cristiano Mendes Gomes 1, Fabrício Leite Carvalho 1, Carlos Henrique Suzuki Bellucci 1, Thiago Souto Hemerly 1, Fábio Baracat 1, Jose de Bessa Jr. 1, Miguel Srougi 1, Homero Bruschini 1
1 Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil

ABSTRACT

Synthetic suburethral slings have become the most widely used technique for the sur­gical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on pa­tients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.

Keywords:  Urinary Incontinence; Polypropylenes; Postoperative Complications

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