Mid-urethral slings have excellent long-term efficacy in the management of stress urinary incontinence (SUI), researchers concluded.

Ingrid Schauer, MD, and colleagues at Kaiser-Franz-Joseph Hospital in Vienna, Austria, studied 256 women who had 10 years of follow-up following a mid-urethral sling operation. At the 2, 5, and 10-year follow-up, the percentages of women report the use of 0-1 pads per day were 96.4%, 97.1%, and 88.5%, respectively, the investigators reported online ahead of print in Neurourology and Urodynamics. More than 95% of women reported no SUI at the 2-, 5-, and 10 year follow-up. At baseline, urgency was reported by 61.2% of patients; this declined to 17.3% at 2 years and increased subsequently to 32.4% and 41.7% at 5 and 10 years, respectively. De novo urgency developed in 3.6%, 10.8%, and 14.4% of patients after 2, 5, and 10 years, respectively. The proportion of women who had a high degree of treatment satisfaction decreased from 79.1% at 2 years to 70.5% and 62.6% at 5 and 10 years, respectively.