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Symptom Resolution and Recurrent Urinary Incontinence Following Removal of Painful Midurethral Slings
Jiping Zeng1, Andrew Bergersen1, Elinora Price1
1Department of Urology, University of Arizona College of Medicine, Tucson, Arizona.
Urology
|September 2, 2021
Summary
Pain significantly improved or resolved for most patients after synthetic midurethral sling (MUS) removal. Complete removal offered better pain relief than partial removal, with no impact on recurrent stress urinary incontinence (SUI) rates.
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- Synthetic midurethral slings (MUS) are used to treat stress urinary incontinence (SUI).
- Pain is a recognized complication following MUS placement.
- Removal of synthetic MUS is considered for persistent pain.
Purpose of the Study:
- To evaluate pain improvement after synthetic MUS removal.
- To assess the rate of recurrent stress urinary incontinence (SUI) post-removal.
- To compare outcomes between complete and partial MUS removal.
Main Methods:
- Retrospective review of 87 patients undergoing synthetic MUS removal for pain (2009-2016).
- Data collected on sling type, removal extent (complete vs. partial), symptoms, and outcomes.
- Pain improvement categorized as resolved, improved, or unresolved.
Main Results:
- 78.1% of patients experienced pain resolution or improvement.
- Complete MUS removal showed significantly higher pain resolution rates (63.3%) compared to partial removal (26.3%).
- Recurrent SUI and reintervention rates were similar between complete and partial removal groups.
Conclusions:
- Synthetic MUS removal effectively alleviates pain in most patients.
- Complete removal is superior to partial removal for pain resolution.
- The extent of MUS removal does not influence recurrent SUI rates.
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