title: Evaluation and management of the patient with a failed midurethral synthetic sling.
abstract: While most women will do well following placement of a midurethral sling (MUS), a substantial minority do experience surgical failure. There are several risk factors that can help identify a patient at higher risk for failure, including body mass index greater than 25 kg/m(2), mixed incontinence, previous continence surgery, intrinsic sphincter deficiency, and diabetes. At the present time, there is no evidence-based guidance for which intervention to use following failure. Careful evaluation of patient characteristics will help guide subsequent management.
authors.affiliation: Professor of Surgery (Urology), and Urology Residency Program Director, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
authors.forename: E Ann
authors.initials: EA
authors.lastname: Gormley