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Mini-slings as good as midurethral slings for stress urinary incontinence


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Journal
The New England Journal of Medicine
Reuters Health - 30/03/2022 - Single-incision mini-slings used to treat female stress urinary incontinence are not inferior to older midurethral slings, according to a new study. "The bottom line of this trial is that women affected by stress urinary incontinence have two good options, if available to them, for outpatient surgical management with 1- to 2-week recovery periods," write Drs. Ingrid Nygaard and Peggy Norton of the University of Utah School of Medicine, in Salt Lake City, in an editorial in the New England Journal of Medicine, where the study appears. "The single-incision (mini-sling) approach can be used without general anesthesia and avoids possible abdominal injury but is associated with higher likelihoods of repeat surgery and dyspareunia than midurethral mesh slings," they note. The pragmatic, government-funded study at 21 hospitals in the United Kingdom involved 596 volunteers with a mean age of 50 years. General anesthesia was used in 25% o...


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