Counselling and Treatment for Synthetic Mid-Urethral Slings.

Female stress urinary incontinence (SUI) is a condition that affects women worldwide. While treatment options span behavioral therapy, pelvic floor physical therapy, continent devices and surgery, many patients turn to surgical options due to longevity and efficacy. The modern midurethral sling (MUS) with synthetic mesh was popularized in the 1990s and has become the gold standard for surgical treatment for SUI since then. Ford, et al's 2017 Cochrane review concluded that MUS have a good safety profile and are highly effective. While there are multiple studies looking at efficacy of these slings, the urogynecological world finds itself at a crossroads (once again) as popular culture has targeted mesh safety (once again) for midurethral surgeries. This article is protected by copyright. All rights reserved.

BJOG : an international journal of obstetrics and gynaecology. 2018 Nov 20 [Epub ahead of print]

Helai Hesham

Massachusetts General Hospital, Obstetrics, Gynecology& Reproductive Biology, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114.