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Managing unsatisfactory outcome after mid-urethral tape insertion.

Anthony R B Smith1, Walter Artibani, Marcus J Drake

  • 1Central Manchester University Hospitals, Manchester M13 9WL, UK.

Neurourology and Urodynamics
|June 11, 2011
PubMed
Summary

This review addresses failed mid-urethral tape surgery for stress urinary incontinence. It highlights the need for structured assessment and management, prioritizing future research in this area.

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Area of Science:

  • Urology
  • Gynecology
  • Female Pelvic Medicine

Background:

  • Mid-urethral tape surgery is a common treatment for stress urinary incontinence (SUI).
  • A significant number of women experience unsatisfactory outcomes following this procedure.
  • Existing literature on managing failed tape surgery is often insufficient.

Purpose of the Study:

  • To review current literature on the assessment and management of women with failed mid-urethral tape surgery for SUI.
  • To provide consensus statements and highlight areas needing further research.
  • To propose a structured approach for clinical practice.

Main Methods:

  • Literature review of studies on failed mid-urethral tape surgery for SUI.
  • Inclusion of consensus statements from the International Continence Society Research Society meeting (June 2010).
  • Synthesis of findings to identify gaps in knowledge and clinical practice.

Main Results:

  • The literature on managing failed tape surgery is deficient in many aspects.
  • A structured approach to assessment and management is crucial.
  • Specific areas requiring further research were identified.

Conclusions:

  • A systematic approach is needed for women with unsatisfactory outcomes after SUI tape surgery.
  • Further research is essential to address uncertainties in assessment and management.
  • Recommendations for future research are provided to improve patient care.