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Authors McAchran SE
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Journal Curr Urol Rep Volume: 11 Issue: 5 Pages: 315-22
Publish Date 2010 Sep
PubMed ID 20625859

The purpose of this article is to evaluate the recent evidence base for the choice between transobturator and retropubic approaches to midurethral slings used to treat stress urinary incontinence. While the retropubic and transobturator approaches to midurethral sling surgery for stress urinary incontinence demonstrate equivalent efficacy across a number of randomized controlled trials, they do not appear to be equivalent when particular patient populations are considered separately. The retropubic approach appears to be a better option in patients with intrinsic sphincter deficiency and limited urethral mobility. Copyright © 2018 The Board of Regents of the University of Wisconsin System