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New research · Urology
International urogynecology journal · 16h
ReviewInternational urogynecology journal · 2026

Long-Term Outcomes of Midurethral Slings: A Narrative Review of Objective and Patient-Reported Trajectories.

Elif Nazli Cetindag, Ahmet Ozgur Yeniel
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UrologyReview

Overactive bladder newly appears in many women years after sling surgery

Long-Term Outcomes of Midurethral Slings: A Narrative Review of Objective and Patient-Reported Trajectories.

Elif Nazli Cetindag et al. · International urogynecology journal · 2026
Background

Midurethral sling (MUS) procedures are widely used for stress urinary incontinence (SUI), yet long-term outcomes remain incompletely characterized.

Purpose

Cure rates exceeded 85-90% at 10 years and remained stable in retropubic cohorts.

Methods

Randomized trials and observational studies were included.

41.6%
Results
Share with new overactive bladder (sudden urgency, frequent urination) at 20 years
More results

Subjective cure rates were more variable and declined in some cohorts despite preserved objective outcomes.

“
Conclusion · 1 of 2

MUS procedures provide durable long-term structural continence. However, patient-perceived outcomes may evolve due to storage symptoms, particularly de novo OAB, and late complications.

Conclusion · 2 of 2

Although voiding dysfunction may contribute to long-term symptom burden, its role remains insufficiently characterized in the available literature. Longitudinal, domain-specific assessment beyond binary continence measures is needed.

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