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The Obstetrician & Gynaecologist 2005;7:4:223-232
doi: 10.1576/toag.7.4.223.27116
Copyright © 2005 by the Royal College of Obstetricians and Gynaecologists.
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Review

Minimally invasive synthetic suburethral slings: emerging complications

Karen Ward, MRCOG

Subspecialty Trainee in Urogynaecology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK. email: karen.ward{at}ncl.ac.uk (corresponding author)

Paul Hilton, MD FRCOG, Consultant Gynaecologist and Urogynaecologist

Royal Victoria Infirmary, Newcastle Upon Tyne, UK.

The tension-free vaginal tape (TVT) and related suburethral mesh devices have revolutionised the management of urinary stress incontinence worldwide and the available evidence suggests that they are as effective as existing continence procedures. They have been marketed as minimally invasive procedures with low complication rates. Evidence concerning the safety and efficacy of these new products, which include transobturator devices, is gradually emerging, but not before the widespread adoption of these techniques for first-line treatment of stress incontinence. This review explores current evidence of emerging complications associated with these techniques.

Keywords Keywords / complications / stress urinary incontinence / suburethral sling / tension-free vaginal tape







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