Insertion of midurethral synthetic slings is now the cornerstone surgical approach to treatment of stress urinary incontinence. A group from Poland randomized 537 women to synthetic sling placement using either a retropubic or transobturator technique. The investigators found both procedures to be equally effective in curing or improving the condition.
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Mueller, E. Relative efficacy of retropubic and transobturator slings. Nat Rev Urol 6, 523–524 (2009). https://doi.org/10.1038/nrurol.2009.193
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DOI: https://doi.org/10.1038/nrurol.2009.193