Vol. 42 (4): 640-644, July – August, 2016

doi: 10.1590/S1677-5538.IBJU.2016.04.03


Are syntetic slings safe?
Opinion: No
Lenore Ackerman 1, Shlomo Raz 2

1 Department of Surgery, Division of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA; 2 Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

Keywords: Suburethral Slings; Surgical Mesh; Pelvic Floor; Prolapse

Urinary incontinence is a highly prevalent condition affecting up to half of all women, most of whom have a component of stress urinary incontinence (SUI) (1). Approximately 10% of these women will undergo surgical treatment. While for decades the standard of care was the Burch colposuspension or autologous fascial pubovaginal sling, rapid advances in the development of augmented polypropylene products (APM) for medical use led to the widespread adoption of synthetic midurethral slings (SMUS) for the treatment of SUI.

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