Pelvic slings for stress urinary incontinence: Are all created equal?
In this article, we discuss the evolution of mid-urethral sling kits, outline the advantages and disadvantages of three distinct approaches to MUS placement, and provide an overview of our algorithm for procedure selection.
A variety of MUS kits have evolved since the advent of the original TVT™ sling, including the suprapubic arc (SPARC) sling system (American Medical Systems, Minnetonka, MN), which is a retropubic MUS placed using a "top-down" approach. Transobturator tapes (TOT) are the most popular type of MUS and may be placed from an "inside-out" technique, using the TVT-O™ (Ethicon), or an "outside-in" approach, using the Monarc (AMS).
In 2006, even less-invasive, single-incision kits such as the Gynecare TVT SECUR (Ethicon) and later, the MiniArc (AMS), were introduced. This latest innovation allows the MUS to be placed through a single vaginal incision.
Malpractice Consult: How likely are you to face a medical malpractice lawsuit?
July 23rd 2024"Although there is a good chance that you will face allegations of medical negligence at some point in your career, it is unlikely that you will ever be found liable by a jury," writes Victoria L. Neikam, Esq.
UK study of AI-based software for prostate cancer detection expands
July 22nd 2024"We will be looking not only at how well this software performs in a busy clinical setting and whether diagnostic accuracy and efficiency improves, but also assessing the experience of clinicians and patients, and looking at the impact on workflow," says Clare Verrill, BM, FRCPath, MMedEd.
