Female Pelvic Medicine and Reconstructive Surgery Challenges on Behalf of the Collaborative Research in Pelvic Surgery Consortium: Managing Complicated Cases : Series 5: Management of Recurrent Stress Urinary Incontinence After Midurethral Sling Exposure

Authors

Erin A. BrennandFollow
Funda G. Ugurlucan
Heidi W. Brown
Stephen Jeffery
Patrick Campbell
Cara L. Grimes, New York Medical CollegeFollow
Ladin A. Yurteri-Kaplan

DOI

10.1007/s00192-020-04385-3

Journal Title

International Urogynecology Journal

First Page

1747

Last Page

1754

Document Type

Article

Publication Date

9-2020

Department

Obstetrics and Gynecology

Abstract

This case presents the work-up and management of a patient requesting surgical intervention for recurrent stress urinary incontinence after previous excision of a portion of her midurethral sling because of mesh exposure. Four international experts provide their approach to this complex case. There is little consensus regarding further surgery in a patient who has required mesh excision. Treatment by fascial sling was commonly considered and the literature review outlines the pros and cons of autologous fascia versus donor fascia for this specific case.

Recommended Citation

Brennand, E. A., Ugurlucan, F. G., Brown, H. W., Jeffery, S., Campbell, P., Grimes, C. L., & Yurteri-Kaplan, L. A. (2020). Female Pelvic Medicine and Reconstructive Surgery Challenges on Behalf of the Collaborative Research in Pelvic Surgery Consortium: Managing Complicated Cases : Series 5: Management of Recurrent Stress Urinary Incontinence After Midurethral Sling Exposure. International Urogynecology Journal, 31 (9), 1747-1754. https://doi.org/10.1007/s00192-020-04385-3