|Category||Surgery for Stress Incontinence|
|Keywords||Stress incontinence Surgical management Selection of procedures|
|Target Audience||Gynaecologists, urologists, fellows and residents performing stress incontinence surgery|
|Aims and Objectives|
Retropubic and transobturator mid-urethral slings seem to perform differently with regard to failure in women with specific underlying pathology like ISD, detrusor overactivity, mixed urinary incontinence or a history of previous incontinence surgery. Also controversy exists whether stress incontinence and prolaps surgery should be carried out simultaneously or done in separate sessions.
In this workshop the following will be discussed: the predictive value of the diagnostic work-up for the success or failure of mid-urethral slings, which parameters predict failure and why, combine or not prolapse and incontinence surgery and how to decide on the best mid-urethral sling in women with and without risk factors for failure.