Electronic Thesis and Dissertation Repository


Master of Science




Dr. Blayne Welk


Synthetic sling surgery is the procedure of choice for surgical correction of stress urinary incontinence (SUI) in females. However, complications are recognized, with surgical intervention to treat them in some instances. In a retrospective study we identified and analyzed those complication to determine their incidence and associated predictive factors. A total of 59,887 women who had synthetic sling procedure were included. Incidence of surgically treated complications was 2.2 % ((95% CI 2.07- 2.30) and on 10 years follow up cumulative incident rate was 3.3% (95% CI 3.0- 3.5). There was no significant difference in complication rate between urologists versus gynecologists. A significant reduction in complications was noted with high surgical volume providers (HR 0.73, 95% CI 0.65-0.83). Patients’ factors like age and simultaneous surgeries had significant effect. Results address and supports Food and Drug recommendation about use of synthetic meshes and slings in vaginal surgery.

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