Stress urinary incontinence (SUI) is a highly prevalent health condition that significantly impacts the quality of life. Traditional methods of treatment for SUI, such as pubovaginal sling and Burch colposuspension, have been replaced by the midurethral sling because of its high efficacy, low complication and morbidity rates, and short learning curve. Although multiple behavioral and operative treatments exist, midurethral slings are the gold standard for the treatment of SUI in women. However, several reports have raised concerns about complications caused by the synthetic mesh used in midurethral slings. Therefore, surgical treatment for SUI in women must be chosen with care, taking into account potential complications. Herein, we review the current safety issues pertaining to the use of meshes, the efficacy of traditional surgeries, old and new midurethral slings, and recent data comparing the efficacy and safety of different surgical options. This review is aimed at developing practical guidelines for choosing surgical options for women with SUI.

中文翻译：

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女性压力性尿失禁手术选择的最新概述。


压力性尿失禁 (SUI) 是一种非常普遍的健康状况，严重影响生活质量。传统的 SUI 治疗方法，如耻骨阴道悬吊术和 Burch 阴道悬吊术，由于其疗效高、并发症和发病率低、学习曲线短，已被尿道中段悬吊术所取代。尽管存在多种行为和手术治疗方法，但尿道中段吊带是治疗女性 SUI 的金标准。然而，一些报告对尿道中段吊带中使用的合成网引起的并发症提出了担忧。因此，女性 SUI 的手术治疗必须谨慎选择，并考虑到潜在的并发症。在此，我们回顾了当前与网状物使用有关的安全问题、传统手术的功效、新旧尿道中段吊带以及比较不同手术选择的功效和安全性的最新数据。本综述旨在为患有 SUI 的女性制定手术选择的实用指南。