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Joint report on the terminology for surgical procedures to treat stress urinary incontinence in women

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Abstract

Introduction and hypothesis

Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery.

Methods

This report combines the input of members of the American Urogynecologic Society and the International Urogynecological Association, assisted by external referees. Extensive searches of the literature were performed, including Instructions for Use brochures and original source documents where possible. Historical context was considered along with procedural modifications, and expert opinion was included when appropriate.

Results

A terminology report for the procedures commonly performed to treat stress urinary incontinence in women was produced. Included procedures are midurethral sling, retropubic colposuspension, pubovaginal sling, urethral bulking, and artificial urinary sphincter. Appropriate figures have been included to supplement and help clarify the text. Ongoing review will be performed periodically to keep the document updated and widely acceptable.

Conclusions

This document is a literature and consensus-based terminology report for surgical procedures to treat stress urinary incontinence in women. Future publications in female pelvic medicine and reconstructive surgery should use this standardized terminology whenever possible.

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Acknowledgments

The following are being recognized for their contributions to this article: Sarah A. Collins, MD, (Northwestern University, Feinberg School of Medicine, Chicago, IL); Steven Swift, MD, (Medical University of South Carolina, Charlston, SC); Swati Jha, MD, (JessopWing, Sheffield Teaching Hospitals NHSFT, Sheffield, UK); Anna Rosamilia, MD (Monash University Department of Obstetrics and Gynecology, Monash Medical Center, Melbourne, Australia); Renaud de Tayrac, MD (Service de Gynécologie-Obstétrique, CHU Carémeau,Nîmes Cedex 9, France).

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Conflicts of interest

S.A.C. is an expert witness from Ethicon / Johnson & Johnson and an expert reviewer for medical guidelines clearinghouse. S.S. is a legal expert for Boston Scientific and a researcher local PI for Cook Myosite. A.R. is an Ethicon expert witness Boston scientific - investigator led sponsored research grant. R.D.T. is a consultant for Boston Scientific and Coloplast. The contributors have declared they have no conflicts of interest.

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Individual contributors are noted in the Acknowledgments section.

This report is being published concurrently in Female Pelvic Medicine and Reconstructive Surgery and in International Urogynecology Journal. The report is identical except for minor stylistic and spelling differences in keeping with each journal’s style. Citations from any of the two journals can be used when citing this article.

Correspondence: Sarah A. Collins, MD, Northwestern Medical Group, 250 E. Superior St, Ste. 5-2370, Chicago, IL 60611, USA.

E-mail: Sarah.Collins@nm.org

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Valderrama, V., Collins, S.A., Swift, S. et al. Joint report on the terminology for surgical procedures to treat stress urinary incontinence in women. Int Urogynecol J (2020). https://doi.org/10.1007/s00192-020-04237-0

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Keywords

  • Stress urinary incontinence
  • Midurethral sling
  • Retropubic colposuspension
  • Pubovaginal sling
  • Urethral bulking
  • Artificial urinary sphincter