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    Low provider volume raises mesh removal risk

    Undergoing multiple procedures also predicts revision or removal

    New Orleans—According to a population-based assessment of the risk factors for bladder slings used to treat stress urinary incontinence (SUI) in women, provider volume impacts the incidence of mesh removal or revision.

    The study, presented at the AUA annual meeting in New Orleans, also showed that having multiple mesh procedures was the highest risk factor for further complications. 

    Read: Long-term benefits observed with sling procedures

    “Approximately 2% of women will need secondary surgery for removal or revision of a mesh SUI sling. There is a well-defined provider volume-outcome relationship for mesh SUI sling complications, as patients of low-volume providers have a 37% increased risk of mesh removal or revision,” said first author Blayne Welk, MD, of the division of urology at the University of Western Ontario, London, ON.

    As Dr. Welk reported, stress incontinence surgery is a growth industry. Approximately one in seven women will undergo SUI surgery in their lifetime, and synthetic mesh, in the form of mid-urethral slings, accounts for almost 90% of these procedures.

    NEXT: “While mid-urethral slings are obviously effective, they do have associated complications."

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