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...

Descripción completa

Detalles Bibliográficos
Autores principales: Pacer, Elizabeth, Duenas-Garcia, Omar Felipe, Hota, Lekha, Hornsby, Kristan, Shapiro, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
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
_version_ 1783536931614752768
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
work_keys_str_mv AT pacerelizabeth urethraldiverticulumfollowingpolypropylenemeshmidurethralslingsaliteraturereview
AT duenasgarciaomarfelipe urethraldiverticulumfollowingpolypropylenemeshmidurethralslingsaliteraturereview
AT hotalekha urethraldiverticulumfollowingpolypropylenemeshmidurethralslingsaliteraturereview
AT hornsbykristan urethraldiverticulumfollowingpolypropylenemeshmidurethralslingsaliteraturereview
AT shapirorobert urethraldiverticulumfollowingpolypropylenemeshmidurethralslingsaliteraturereview