Surgical Treatments for Women with Stress Urinary Incontinence: A Systematic Review
2023; Multidisciplinary Digital Publishing Institute; Volume: 13; Issue: 7 Linguagem: Inglês
10.3390/life13071480
ISSN2075-1729
AutoresBogdan Cristian Călinescu, Adrian Neacşu, A Martiniuc, D. Dumitrescu, Cătălina Diana Stănică, George-Alexandru Roșu, Laura Ioana Chivu, Raluca Gabriela Ioan,
Tópico(s)Hernia repair and management
ResumoStress urinary incontinence affects a large proportion of women in their lifetime. The objective of this review was to describe and compare the latest surgical trends in urinary incontinence and focus on the literature advantages, disadvantages, complications and efficacy of surgical procedures regarding this pathology. Using network meta-analysis, we have identified the most frequently used procedures (Burch surgery, midurethral sling and pubovaginal sling), and we have described and characterized them in terms of effectiveness and safety. Midurethral procedures remain the gold standard for surgical treatment of stress urinary incontinence, although the potential of serious complications following this procedure should be taken into consideration always. There is a clear need for a much more unified evaluation of possible complications and postoperative evolution. This process will help practitioners to adapt and individualize their strategy for each patient.
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