Urological oncology

Abstract

Should we abandon sling operations in women with stress urinary incontinence? By no means. The majority of the patients can be successfully treated if the indication for the operation was appropriate. The fact that some of the sling operations can be done under regional or local anesthesia and with a short operating time should not make such a procedure the operation of choice for all women with stress urinary incontinence. An additional important fact is the type of sling material used. Whenever possible a material taken from the patient to be operated such as rectus fascia or fascia lata is the material of choice because it considerably reduces both urethral erosions and possible systemic side effects of cadaveric or xenograft materials.