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Updated: Oct 6, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
The impact of partially absorbable midurethral slings in stress urinary incontinence surgery: A cohort study
Nathalie Ng-Stollmann1, Christian Fünfgeld1, Tanja Hüsch2
1Department of Gynecology and Obstetrics, Hospital Tettnang GmbH, Tettnang, Germany.
Objective:
To evaluate the performance of retropubic midurethral slings (MUS) for the treatment of female stress urinary incontinence (SUI) at a certified continence center and to identify risk factors for sling failure.
Methods:
This was a single-center cohort study including women who underwent a retropubic MUS procedure for SUI between 2012 and 2019 with a follow up of 12 months. Primary end point was cure of SUI assessed using the validated questionnaire International Consultation of Incontinence Questionnaire-Urinary Incontinence-Short Form. Univariate and multivariate analyses were applied to identify risk factors for sling failure. Wilcoxon signed-rank tests were used as paired samples tests. The significance level was set at 5%.
Results:
A total of 662 women with a median age of 65 years (interquartile range 19 years) were included in the investigation; 523 (79.0%) presented with complicated SUI. Cure was reported by 213 (32.2%) women. Independent predictors for failure were obesity, pharmacotherapy for overactive bladder, postoperative sling adjustment, and use of partially absorbable mesh, which was correlated with a 56% decrease in the odds for achieving cure.
Conclusion:
This investigation questions the role of partially absorbable mesh for stress urinary incontinence procedures and scrutinizes the use of implants with inadequate clinical evidence.
