Would you repeat a midurethral sling in a patient with recent failure of a mesh, midurethral sling placed 10 years ago?
Their stress incontinence has returned and is bothersome. Do you need to remove the previous mesh prior to placing a new one?
1 Answer
Mednet MemberInvited Expert
Urology · Stanford University School of Medicine / Stanford Medicine
Answered on
It is very unusual for mesh to "fail" over time. Rather, the patient has urinary incontinence, which should be investigated before any surgical decisions are made. If she indeed has incontinence due to sphincteric insufficiency (the pathophysiologic explanation for stress urinary incontinence), then...
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