Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

802
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
802

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Editorial.

Neurourology and urodynamics·2026
Same author

Editorial.

Neurourology and urodynamics·2025
Same author

Editorial Comment on "External Urethral Sphincter Botulinum Toxin Injection to Treat Pseudodyssynergia in Patients with Cerebral Palsy".

Urology·2024
Same author

EDITORIAL COMMENT.

Urology·2023
Same author

Editorial Commentary.

Urology practice·2023
Same author

Editorial Commentary.

Urology practice·2023

Related Experiment Video

Updated: Mar 24, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

1.5K

Midurethral sling: is there an optimal choice?

Alex Gomelsky1

  • 1Department of Urology, Louisiana State University Health - Shreveport, Shreveport, Louisiana, USA.

Current Opinion in Urology
|March 2, 2016
PubMed
Summary

The bottom-up retropubic midurethral sling (MUS) may be optimal for female stress urinary incontinence (SUI). While transobturator MUS is an alternative, long-term outcomes and informed consent are crucial for all approaches.

More Related Videos

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024

1.2K
Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

12.2K

Related Experiment Videos

Last Updated: Mar 24, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

1.5K
Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024

1.2K
Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

12.2K

Area of Science:

  • Urology
  • Gynecology
  • Female Pelvic Medicine

Background:

  • Midurethral slings (MUS) are the primary surgical treatment for female stress urinary incontinence (SUI).
  • Numerous MUS variations exist, necessitating evidence-based guidance on optimal procedural approaches.

Purpose of the Study:

  • To review and compare the outcomes of different midurethral sling procedures for female SUI.
  • To identify the optimal approach for improved patient outcomes and reduced complications.

Main Methods:

  • Comparative review of retropubic, transobturator, and single incision mini sling (SIMS) procedures.
  • Analysis of subjective cure rates, complication rates (bladder puncture, voiding dysfunction, extrusion, vascular injury, groin pain), de novo storage symptoms, and sexual function.

Main Results:

  • The bottom-up retropubic MUS approach shows potential for higher subjective cure rates and fewer complications like bladder puncture and vaginal extrusion compared to the top-bottom approach.
  • Retropubic and transobturator approaches demonstrate similar short- to medium-term efficacy, with retropubic potentially offering better long-term results.
  • Transobturator approach is linked to reduced bladder/vascular injury and voiding dysfunction but increased groin pain.
  • SIMS offers comparable cure rates to transobturator with less early pain but inferior results to retropubic MUS.

Conclusions:

  • The bottom-up retropubic MUS is currently considered the optimal procedure, though the transobturator MUS remains a viable option.
  • Emerging long-term data necessitates careful consideration of all approaches.
  • Comprehensive informed consent is essential for all midurethral sling procedures, irrespective of the surgical technique.