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Related Experiment Video

Updated: Mar 12, 2026

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Long-term functional results after unilateral mid-urethral sling transection for voiding dysfunction.

F Baekelandt1, P Van Oyen2, C Ghysel2

  • 1Department of Urology, Saint-John's Hospital, Brugge, Belgium; Department of Urology, University Hospitals, Leuven, Belgium.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|November 12, 2016
PubMed
Summary
This summary is machine-generated.

Unilateral mid-urethral sling transection effectively treats voiding dysfunction after synthetic sling placement, with most patients remaining continent long-term. However, urgency and urge incontinence persist in some cases.

Keywords:
Sling transectionStress urinary incontinenceSynthetic mid-urethral slingUrge urinary incontinenceUrgency

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Area of Science:

  • Urology
  • Female Pelvic Medicine and Reconstructive Surgery

Background:

  • Synthetic mid-urethral slings are common for stress urinary incontinence (SUI).
  • Voiding dysfunction can occur post-sling placement, necessitating intervention.
  • Unilateral sling transection is a potential treatment for these complications.

Purpose of the Study:

  • To evaluate the long-term efficacy of unilateral mid-urethral sling transection for voiding dysfunction.
  • To assess subjective and objective outcomes following this surgical intervention.

Main Methods:

  • Retrospective analysis of 23 patients undergoing unilateral sling transection.
  • Evaluation of subjective patient outcomes.
  • Comparison of pre- and postoperative urodynamic parameters (flow rates, residual volume).

Main Results:

  • 73.9% of patients remained continent at a mean follow-up of 42 months.
  • Significant improvement in flow patterns observed: increased maximum flow rate, mean flow rate, and voided volume, with decreased residual volume (p<0.003).
  • 34.8% reported urgency, and 26.1% experienced incontinence at final follow-up.

Conclusions:

  • Unilateral mid-urethral sling transection is a safe and effective method for addressing obstructive voiding symptoms post-SUI surgery.
  • The procedure demonstrates good preservation of continence.
  • Urgency and urge incontinence remain challenging to treat solely with transection.