Use of synthetic slings in the treatment of female stress urinary incontinence: Number 2 – 2025

Key points Stress urinary incontinence (SUI) is a very common condition in women and negatively affects quality of life. Treatment of SUI should begin with behavioral and clinical measures. Surgical treatment should be indicated when clinical treatment fails or at the patient's discretion after being informed about the therapeutic possibilities. Several surgical techniques have been described for treatment, but the gold standard procedure is represented by mid-urethral slings. Synthetic mid-urethral slings have been questioned due to the complications observed with synthetic meshes used to treat genital prolapse. Recommendations Synthetic mid-urethral slings available on the Brazilian market are safe and effective in the treatment of SUI. The synthetic material used in slings is the macroporous monofilament polypropylene. Surgeries with synthetic slings should be performed by technically trained surgeons with knowledge of how to avoid and treat potential complications. The patient should be informed about the benefits and possible risks of using synthetic material. If the patient does not wish to use synthetic material, other options should be proposed, such as Burch colposuspension or autologous pubovaginal sling. Urethrocystoscopy should always be performed on retropubic slings and, when possible, on other slings. Synthetic slings are considered the gold standard for the surgical treatment of SUI.

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Publication Details

Journal
Revista Brasileira Ginecologia e Obstetrícia
Published
2025-01-01
DOI
https://doi.org/10.61622/rbgo/2025fps2
Citations
1
Primary Topic
Pelvic floor disorders treatments
Type
article
Field-Weighted Citation Impact
1.67
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article

Use of synthetic slings in the treatment of female stress urinary incontinence: Number 2 – 2025

Aljerry Dias do Rêgo, Lucas Schreiner, Cássia Raquel Teatin Juliato, Luiz Gustavo Oliveira Brito et al.
1 citations
Revista Brasileira Ginecologia e Obstetrícia
Pelvic floor disorders treatments
1.67
article

Use of synthetic slings in the treatment of female stress urinary incontinence: Number 2 – 2025

Aljerry Dias do Rêgo, Lucas Schreiner, Cássia Raquel Teatin Juliato, Luiz Gustavo Oliveira Brito, Daniela Siqueira Prado, Marair Grácio Ferreira Sartori, Emerson de Oliveira, Marilene Vale de Castro Monteiro, Sérgio Brasileiro Martins, José Miguel de Deus, Jorge Milhem Haddad, Letícia Maria de Oliveira, Andreísa Paiva Monteiro Bilhar, Ana Selma Bertelli Picoloto, Rafael Mendes Moroni
article en
1 citations

Abstract

Key points Stress urinary incontinence (SUI) is a very common condition in women and negatively affects quality of life. Treatment of SUI should begin with behavioral and clinical measures. Surgical treatment should be indicated when clinical treatment fails or at the patient's discretion after being informed about the therapeutic possibilities. Several surgical techniques have been described for treatment, but the gold standard procedure is represented by mid-urethral slings. Synthetic mid-urethral slings have been questioned due to the complications observed with synthetic meshes used to treat genital prolapse. Recommendations Synthetic mid-urethral slings available on the Brazilian market are safe and effective in the treatment of SUI. The synthetic material used in slings is the macroporous monofilament polypropylene. Surgeries with synthetic slings should be performed by technically trained surgeons with knowledge of how to avoid and treat potential complications. The patient should be informed about the benefits and possible risks of using synthetic material. If the patient does not wish to use synthetic material, other options should be proposed, such as Burch colposuspension or autologous pubovaginal sling. Urethrocystoscopy should always be performed on retropubic slings and, when possible, on other slings. Synthetic slings are considered the gold standard for the surgical treatment of SUI.

Revista Brasileira Ginecologia e ObstetríciaVol. 47
Universidade Federal de Minas Gerais (BR), Universidade Federal do Rio Grande do Sul (BR), Universidade Estadual de Campinas (UNICAMP) (BR), Universidade Federal de Sergipe (BR), Universidade Estadual do Oeste do Paraná (BR), Universidade Federal do Ceará (BR), Universidade Brasil (BR), Universidade Federal do Amapá (BR), Faculdade de Medicina do ABC (BR), Pontifícia Universidade Católica do Rio Grande do Sul (BR), Universidade Federal de São Paulo (BR)
Gender equality
Openalex Percentile: Top 19%
Pelvic floor disorders treatments
1.67
DOIOpen Access PDFOpenAlex
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