MANAGEMENT OF FEMALE STRESS URINARY INCONTINENCE AFTER A FAILED MIDURETHRAL SLING

Workshop 18

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Workshop Schedule

16:00

Tufan Tarcan

16:05

Bary Berghmans

16:10

Ervin Kocjancic

16:20

Alex Digesu

16:30

David Castro-Diaz

16:40

All

16:50

Tufan Tarcan
David Castro-Diaz
Alex Digesu
Ervin Kocjancic

Aims & Objectives

Advanced
90 minutes
Female Stress Urinary Incontinence (SUI)
Clinical
Recurrent female stress urinary incontinence Surgical management Urodynamics
Urology, Urogynaecology

Mid-urethral slings (MUS) are the most widely used surgical treatment options for female stress urinary incontinence (SUI). With widespread use of MUS, recurrent or persistent SUI is becoming an increasingly common condition where its management is challenging. The aims of our workshop are: 1) to elaborate the preoperative and intraoperative causes of MUS failure; 2) to discuss the clinical and urodynamic assessment of patients after MUS failure and; 3) to assess conservative and surgical management options including re-MUS, adjustable slings, pubovaginal sling, retropubic suspension, artificial urinary sphincter and periurethral bulking agents, in patients with recurrent or persistent SUI after MUS.

Learning Objectives

  • To recognize the pre- and intraoperative causes of recurrent SUI after MUS surgery.
  • To identify patients with recurrent SUI after MUS and assess them with clinical and urodynamic tools for further decision-making.
  • To manage recurrent SUI after MUS surgery by utilization of different conservative and surgical treatment options under the guidance of evidence-based medicine.

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