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Can Urol Assoc J. 2012 Oct;6(5 Suppl 2):S123-4. doi: 10.5489/cuaj.12198.

Evaluation and management of the patient with a failed midurethral synthetic sling.

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  • 1Professor of Surgery (Urology), and Urology Residency Program Director, Dartmouth-Hitchcock Medical Center, Lebanon, NH.


While most women will do well following placement of a midurethral sling (MUS), a substantial minority do experience surgical failure. There are several risk factors that can help identify a patient at higher risk for failure, including body mass index greater than 25 kg/m(2), mixed incontinence, previous continence surgery, intrinsic sphincter deficiency, and diabetes. At the present time, there is no evidence-based guidance for which intervention to use following failure. Careful evaluation of patient characteristics will help guide subsequent management.

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