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Cystourethroscopy following midurethral slings: is it always necessary?
Jerome Melon1, Erin C Kelly2, Kim W M van Delft3
1Pelvic Floor Unit, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, 3168, Australia. melon.jerome@gmail.com.
Abstract:
Midurethral slings are the mainstay of treatment for stress urinary incontinence. The role of cystourethroscopy to detect lower urinary tract injury following retropubic midurethral slings is well-established; however, its role following transobturator or single-incision sling placement remains controversial. Some advocate "routine" whereas others advocate for "selective" cystourethroscopy. This paper reviews the arguments for and against cystourethroscopy to detect lower urinary tract injury following transobturator and single-incision slings.
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