33: The effect of resident simulation training on operative time of the retropubic midurethral sling procedure for the treatment of stress urinary incontinence

2017 ◽  
Vol 216 (3) ◽  
pp. S593 ◽  
Author(s):  
L. Rosen ◽  
N.S. Jacobson ◽  
K. Falk ◽  
C. Ascher-Walsh
Urology ◽  
2017 ◽  
Vol 99 ◽  
pp. 49-56 ◽  
Author(s):  
Tiago Antunes-Lopes ◽  
Ana Coelho ◽  
Rui Pinto ◽  
Sérgio C. Barros ◽  
Célia D. Cruz ◽  
...  

Author(s):  
Giulia I. Lane ◽  
Colby A. Dixon ◽  
M. Louis Moy ◽  
Cynthia S. Fok

This chapter summarizes the results of the Trial of Mid Urethral Slings (TOMUS), in which women with stress urinary incontinence were randomized to a retropubic midurethral sling versus a transobturator sling. Bladder perforations and voiding dysfunction occurred only in the retropubic sling group; neurologic symptoms (weakness and numbness) were significantly more common in the transobturator group. Both objective and subjective measures of treatment success at 12 months were similar. Based on this and subsequent studies, retropubic and transobturator midurethral sling approaches appear to have similar outcomes at 12 months for the treatment of stress urinary incontinence. However, the approaches differ in their adverse-event profiles.


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