title: Update on complications of synthetic suburethral slings.
abstract: Synthetic suburethral slings have become the most widely used technique for the surgical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on patients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Cristiano Mendes
authors.initials: CM
authors.lastname: Gomes
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Fabrício Leite
authors.initials: FL
authors.lastname: Carvalho
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Carlos Henrique Suzuki
authors.initials: CHS
authors.lastname: Bellucci
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Thiago Souto
authors.initials: TS
authors.lastname: Hemerly
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Fábio
authors.initials: F
authors.lastname: Baracat
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Jose
authors.initials: J
authors.lastname: de Bessa
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
authors.affiliation: Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Homero
authors.initials: H
authors.lastname: Bruschini
mesh_terms: D005260:Female; D006801:Humans; D011183:Postoperative Complications; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation
keywords:  Polypropylenes; Postoperative Complications; Urinary Incontinence