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Retropubic Versus Transobturator Midurethral Synthetic Slings: Does One Sling Fit All?

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Abstract

The purpose of this article is to evaluate the recent evidence base for the choice between transobturator and retropubic approaches to midurethral slings used to treat stress urinary incontinence. While the retropubic and transobturator approaches to midurethral sling surgery for stress urinary incontinence demonstrate equivalent efficacy across a number of randomized controlled trials, they do not appear to be equivalent when particular patient populations are considered separately. The retropubic approach appears to be a better option in patients with intrinsic sphincter deficiency and limited urethral mobility.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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  1. Department of Urology, 1685 Highland Avenue, Madison, WI, 53705, USA

    Sarah E. McAchran

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  1. Sarah E. McAchran
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Correspondence to Sarah E. McAchran.

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McAchran, S.E. Retropubic Versus Transobturator Midurethral Synthetic Slings: Does One Sling Fit All?. Curr Urol Rep 11, 315–322 (2010). https://doi.org/10.1007/s11934-010-0131-7

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  • DOI: https://doi.org/10.1007/s11934-010-0131-7

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