Association of sling location and bladder descent on ultrasound with cure, satisfaction and complications 10–20 years after midurethral sling surgery: multicenter cross‐sectional study

We found no differences in sling location between women who were cured vs those who were not, those who were satisfied vs those who were dissatisfied with MUS surgery, and women who did vs those who did not experience complications after MUS surgery. This indicates that other factors, such as age-related changes, repeat SUI surgery or medication, can influence long-term results. However, women with a UUI index ≥ 3 and those who had > 1 UTI within the last year had a shorter sling-to-symphysis distance compared to women with a UUI index of < 3 and those who had ≤ 1 UTI within the last year, respectively, indicating that the tension of the sling may be increased in these women. Ultrasound-measured bladder descent > 50^th percentile was associated with higher odds of objective voiding difficulties at long-term follow-up, indicating that bladder descent, rather than tape location, has an impact on residual urine. © 2025 International Society of Ultrasound in Obstetrics and Gynecology.