[Repeat midurethral sling for female stress urinary incontinence after failure of the initial sling].
OBJECTIVE
Midurethral sling (MUS) is the gold standard treatment of female stress urinary incontinence (SUI). No consensus exists regarding the way to manage patients who have persistent or recurrent SUI following MUS. The aim was to evaluate the use of a second MUS for the treatment of persistent or recurrent SUI following a first MUS.


METHODS
Literature review based on keywords: "stress urinary incontinence", "tape", "failure", "second MUS".


RESULTS
Fifty-one cases of second MUS were identified within five studies. No major complication was reported. The success rate of second MUS ranged from 76 to 100% with a median follow-up of 5 to 22 months. The use of a retropubic approach for the repeat MUS could be more efficient than the transobturator way.


CONCLUSIONS
The repeat MUS for persistent or recurrent SUI appears to be a safe and efficient therapeutic option. Further studies with larger number of patients and longer follow-up are needed to reach definite conclusions.
Service d'Urologie, Hôpital Cochin-Port-Royal, Paris, France. evanguelosxylinas@hotmail.com
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Xylinas
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Descazeaud
D000465:Algorithms; D005260:Female; D006801:Humans; D012086:Reoperation; D053825:Suburethral Slings; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*