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Updated: Aug 15, 2025

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
[Slings in the era of the mesh ban: now what?]
1Frauenklinik Helios Klinikum Erfurt, Helios Klinikum Erfurt, Universitätsfrauenklinik, Heinrich-Heine-Universität Düsseldorf, Nordhäuser Str. 74, 90089, Erfurt, Deutschland. gert.naumann@helios-gesundheit.de.
Background:
Use of midurethral slings (MUS) as gold standard for stress urinary incontinence declined after the recent US Food and Drug Administration (FDA) communication.
Objectives:
What is the current status in the surgical treatment of stress urinary incontinence? What impact do regular FDA communications and numerous restrictions around the world have?
Materials And Methods:
The current literature on surgical treatment of incontinence was evaluated; medical press information and literature regarding the FDA communication were assessed. The legal situation is illustrated using the example of the Montgomery case in England.
Results:
Despite positive results from literature and gynecological and urological societies, there has been a significant decline in the use of MUS. The current 2022 German interdisciplinary 2k-guideline for the treatment of female stress urinary incontinence confirms the efficacy and safety of MUS.
Conclusion:
Analysis of recent literature supports the importance of continued long-term outcome data regarding the safety and efficacy of suburethral slings for treatment of female stress urinary incontinence.
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