Storage symptoms after surgical treatment of stress urinary incontinence in women: a clinical review

Abstract

Storage symptoms after surgical treatment of stress urinary incontinence in women: a clinical review Tom Marcelissen1 , Tanja Hüsch2 , Tiago Antunes-Lopes3 , Bogdan Geavlete4 , Malte Rieken5 , Jean Nicolas Cornu6 , Mohammad Sajjad Rahnama’i7,*, European Association of Urology (EAU) Young Academic Urologists (YAU) Functional Urology Working Group 1Department of Urology, Maastricht University Medical Centre, 6229 Maastricht, The Netherlands 2Department of Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg-University, 55131 Mainz, Germany 3Department of Urology, Centro Hospitalar São João, Faculty of Medicine of Porto University, 4200-319 Porto, Portugal 4Department of Urology, Saint John Emergency Clinical Hospital, 030171 Bucharest, Romania 5Faculty of Medicine, University of Basel, 4051 Basel, Switzerland 6Service d’urologie, CHU de Rouen, 76000 Rouen, France 7Department of Urology, University Hospital Aachen RWTH, 52074 Aachen, Germany *Correspondence: sajjad_r@yahoo.com (Mohammad Sajjad Rahnama’i) Academic Editor: Rafal Watrowski Submitted: 26 September 2021 Revised: 2 November 2021 Accepted: 4 November 2021 Published: 4 March 2022 Abstract Objectives: Minimally invasive sling procedures for the treatment of stress urinary incontinence has gained a topic of great interest for the last decades. However, postoperative storage symptoms after sling implantation or conventional surgical techniques are one of the most distressing complications which can significantly impair quality of life. The current review aims to focus on the development of storage symptoms after surgical treatment in comparison of different surgical techniques. Mechanism: A narrative review has been performed to identify literature reporting the incidence of storage symptoms after female stress urinary incontinence surgery. The results of systematic reviews and meta-analysis have been included in this review. Findings in brief: Pubovaginal slings have a higher risk for developing storage symptoms. In contrast, standard midurethral slings (SMUS) and colposuspensions demonstrate comparable rates of postoperative storage symptoms. Regarding SMUS, the surgical route did not demonstrate significant differences in storage symptoms. In comparison between SIMS and SMUS, no significant difference of postoperative storage symptoms could be identified. Conclusions: Pubovaginal slings have the highest risk for postoperative storage symptoms in comparison to colposuspension and SMUS and SIMS. Furthermore, surgical technique and misplacement of sling may contribute significantly in the development of postoperative storage symptoms. Keywords: Synthetic midurethral sling; Single-incision mini-sling; Storage symptom; Stress urinary incontinence; Lower urinary tract symptomes