IMR Press / CEOG / Volume 49 / Issue 3 / DOI: 10.31083/j.ceog4903061
Open Access Review
Storage symptoms after surgical treatment of stress urinary incontinence in women: a clinical review
Show Less
1 Department of Urology, Maastricht University Medical Centre, 6229 Maastricht, The Netherlands
2 Department of Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg-University, 55131 Mainz, Germany
3 Department of Urology, Centro Hospitalar São João, Faculty of Medicine of Porto University, 4200-319 Porto, Portugal
4 Department of Urology, Saint John Emergency Clinical Hospital, 030171 Bucharest, Romania
5 Faculty of Medicine, University of Basel, 4051 Basel, Switzerland
6 Service d’urologie, CHU de Rouen, 76000 Rouen, France
7 Department of Urology, University Hospital Aachen RWTH, 52074 Aachen, Germany
*Correspondence: sajjad_r@yahoo.com (Mohammad Sajjad Rahnama'i)
Academic Editor: Rafal Watrowski
Clin. Exp. Obstet. Gynecol. 2022, 49(3), 61; https://doi.org/10.31083/j.ceog4903061
Submitted: 26 September 2021 | Revised: 2 November 2021 | Accepted: 4 November 2021 | Published: 4 March 2022
(This article belongs to the Special Issue Ways of Safety and Individuality in Gynecological Surgery)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Objectives: Minimally invasive sling procedures for the treatment of stress urinary incontinence has gained a topic of great interest for the last decades. However, postoperative storage symptoms after sling implantation or conventional surgical techniques are one of the most distressing complications which can significantly impair quality of life. The current review aims to focus on the development of storage symptoms after surgical treatment in comparison of different surgical techniques. Mechanism: A narrative review has been performed to identify literature reporting the incidence of storage symptoms after female stress urinary incontinence surgery. The results of systematic reviews and meta-analysis have been included in this review. Findings in brief: Pubovaginal slings have a higher risk for developing storage symptoms. In contrast, standard midurethral slings (SMUS) and colposuspensions demonstrate comparable rates of postoperative storage symptoms. Regarding SMUS, the surgical route did not demonstrate significant differences in storage symptoms. In comparison between SIMS and SMUS, no significant difference of postoperative storage symptoms could be identified. Conclusions: Pubovaginal slings have the highest risk for postoperative storage symptoms in comparison to colposuspension and SMUS and SIMS. Furthermore, surgical technique and misplacement of sling may contribute significantly in the development of postoperative storage symptoms.

Keywords
Synthetic midurethral sling
Single-incision mini-sling
Storage symptom
Stress urinary incontinence
Lower urinary tract symptomes
Share
Back to top