Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review
AIMS: It is currently unknown whether an association exists between polypropylene mesh and urethral diverticulum formation following placement of polypropylene midurethral slings (MUS) for the treatment of stress urinary incontinence (SUI). We aimed to examine the literature associating MUS with the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240659/ https://www.ncbi.nlm.nih.gov/pubmed/32462011 http://dx.doi.org/10.1155/2020/6761581 |
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author | Pacer, Elizabeth Duenas-Garcia, Omar Felipe Hota, Lekha Hornsby, Kristan Shapiro, Robert |
author_facet | Pacer, Elizabeth Duenas-Garcia, Omar Felipe Hota, Lekha Hornsby, Kristan Shapiro, Robert |
author_sort | Pacer, Elizabeth |
collection | PubMed |
description | AIMS: It is currently unknown whether an association exists between polypropylene mesh and urethral diverticulum formation following placement of polypropylene midurethral slings (MUS) for the treatment of stress urinary incontinence (SUI). We aimed to examine the literature associating MUS with the occurrence of urethral diverticula. METHODS: Multiple online research databases, including PubMed, Google Scholar, EBSCOhost, and the Cochrane Library, were searched, from January 2019 to February 2019, for evidence related to the occurrence of urethral diverticula following polypropylene MUS procedures. RESULTS: Four case reports were published demonstrating the occurrence of urethral diverticula following the use of polypropylene mesh for surgical treatment of SUI. Subjects of these cases were menopausal and had an elevated body mass index (BMI), recurrent urinary tract infections (UTIs), autoimmune conditions, or prior pelvic floor surgeries. A thorough urologic workup, including imaging prior to sling placement, was not always performed. CONCLUSION: No clear association exists between polypropylene MUS placement and subsequent urethral diverticulum formation. Factors that diminish polypropylene mesh biocompatibility include elevated BMI, menopause, recurrent UTIs, prior pelvic surgeries, and preexisting medical conditions. Symptoms associated with urethral diverticula should prompt a complete urologic workup prior to MUS placement. |
format | Online Article Text |
id | pubmed-7240659 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-72406592020-05-26 Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review Pacer, Elizabeth Duenas-Garcia, Omar Felipe Hota, Lekha Hornsby, Kristan Shapiro, Robert Biomed Res Int Review Article AIMS: It is currently unknown whether an association exists between polypropylene mesh and urethral diverticulum formation following placement of polypropylene midurethral slings (MUS) for the treatment of stress urinary incontinence (SUI). We aimed to examine the literature associating MUS with the occurrence of urethral diverticula. METHODS: Multiple online research databases, including PubMed, Google Scholar, EBSCOhost, and the Cochrane Library, were searched, from January 2019 to February 2019, for evidence related to the occurrence of urethral diverticula following polypropylene MUS procedures. RESULTS: Four case reports were published demonstrating the occurrence of urethral diverticula following the use of polypropylene mesh for surgical treatment of SUI. Subjects of these cases were menopausal and had an elevated body mass index (BMI), recurrent urinary tract infections (UTIs), autoimmune conditions, or prior pelvic floor surgeries. A thorough urologic workup, including imaging prior to sling placement, was not always performed. CONCLUSION: No clear association exists between polypropylene MUS placement and subsequent urethral diverticulum formation. Factors that diminish polypropylene mesh biocompatibility include elevated BMI, menopause, recurrent UTIs, prior pelvic surgeries, and preexisting medical conditions. Symptoms associated with urethral diverticula should prompt a complete urologic workup prior to MUS placement. Hindawi 2020-05-11 /pmc/articles/PMC7240659/ /pubmed/32462011 http://dx.doi.org/10.1155/2020/6761581 Text en Copyright © 2020 Elizabeth Pacer et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Pacer, Elizabeth Duenas-Garcia, Omar Felipe Hota, Lekha Hornsby, Kristan Shapiro, Robert Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title | Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title_full | Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title_fullStr | Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title_full_unstemmed | Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title_short | Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review |
title_sort | urethral diverticulum following polypropylene mesh midurethral slings: a literature review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240659/ https://www.ncbi.nlm.nih.gov/pubmed/32462011 http://dx.doi.org/10.1155/2020/6761581 |
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