Update on complications of synthetic suburethral slings

• Published in: International Brazilian Journal of Urology Vol. 43; no. 5; pp. 822 - 834
• Main Authors: Gomes, Cristiano Mendes, Carvalho, Fabrício Leite, Bellucci, Carlos Henrique Suzuki, Hemerly, Thiago Souto, Baracat, Fábio, de Bessa, Jr, Jose, Srougi, Miguel, Bruschini, Homero
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Urologia 01-09-2017
• Subjects: Female; Humans; Polypropylenes; Postoperative Complications; Review; Suburethral Slings - adverse effects; Urinary Incontinence; Urinary Incontinence, Stress - surgery; Urologic Surgical Procedures - adverse effects; Urologic Surgical Procedures - instrumentation; Polypropylenes; Postoperative Complications; Urinary Incontinence
• ISSN: 1677-5538; 1677-6119; 1677-6119; 1677-5538
• DOI: 10.1590/S1677-5538.IBJU.2016.0250

Synthetic suburethral slings have become the most widely used technique for the surgical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on patients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.