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Female SUI: Single-Incision Slings

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Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Single-incision slings (SIS) are the third generation of midurethral slings dedicated to the treatment of female stress urinary incontinence. SIS seek to mimic the efficacy of the traditional retropubic and transobturator slings, yet lower the risk of major organ and vessel injury by avoiding the passage of trocars through the retropubic or transobturator space. Placed via a single vaginal incision, SIS also aim to limit morbidity by avoiding external incisions, reducing postoperative pain, and affording the opportunity for placement under local anesthesia. Studies of currently available SIS show mixed results with regard to efficacy, and further study of this new generation of slings is warranted. This chapter highlights the important differences in design and surgical placement of the most popular SIS on the market, as well as reviews available outcomes data for each sling.

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Author information

Authors and Affiliations

  1. McKay Department of Urology, Women’s Center for Pelvic Health, Charlotte Continence Center, Carolinas Medical Center, 2001 Vail Avenue, Suite 360, Charlotte, NC, 28207, USA

    Michael J. Kennelly M.D.

  2. Department of Urology, UNC School of Medicine, Chapel Hill, NC, USA

    John P. Selph M.D.

Authors
  1. Michael J. Kennelly M.D.
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  2. John P. Selph M.D.
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Correspondence to Michael J. Kennelly M.D. .

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Editors and Affiliations

  1. Department of Urology, Wake Forest University, Winston-Salem, North Carolina, USA

    Gopal H. Badlani

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Kennelly, M.J., Selph, J.P. (2014). Female SUI: Single-Incision Slings. In: Badlani, G. (eds) Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0008-4_5

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  • DOI: https://doi.org/10.1007/978-1-4939-0008-4_5

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  • Publisher Name: Humana Press, New York, NY

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  • Online ISBN: 978-1-4939-0008-4

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