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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

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International Urogynecology Journal Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Departments of Obstetrics & Gynecology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

    Erin A. Brennand

  2. Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul, Turkey

    Funda G. Ugurlucan

  3. Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA

    Heidi W. Brown

  4. University of Cape Town, Cape Town, South Africa

    Stephen Jeffery

  5. Belfast Health and Social Care Trust, Northern Ireland, UK

    Patrick Campbell

  6. Department of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, NY, USA

    Cara L. Grimes

  7. Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA

    Ladin A. Yurteri-Kaplan

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  1. Erin A. Brennand
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  7. Ladin A. Yurteri-Kaplan
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Corresponding author

Correspondence to Erin A. Brennand.

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Conflicts of interest

E.A. Brennand: grant in-aid funding, for an investigator-initiated randomized clinical trial from Boston Scientific (ClinicalTrials.gov, identifier: NCT02480231); C.L. Grimes: expert witness, Johnson and Johnson; H.W. Brown: receives royalties from Wolters-Kluwer (UpToDate, Inc.) and serves as a consultant for Grand Rounds, Inc.; F.G. Ugurlucan, S. Jeffery, P. Campbell, L.A. Yurteri-Kaplan: no relevant conflicts of interest.

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Table 2 Grades of evidence
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Brennand, E.A., Ugurlucan, F.G., Brown, H.W. et al. Female Pelvic Medicine and Reconstructive Surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases. Int Urogynecol J 31, 1747–1754 (2020). https://doi.org/10.1007/s00192-020-04385-3

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  • DOI: https://doi.org/10.1007/s00192-020-04385-3

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