{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:56:08Z","timestamp":1788814568112,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate whether the sling position is associated with particular types of complications in patients undergoing suburethral sling placement for stress urinary incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 100 women diagnosed at the Evangelical Hospital Hagen\u2010Haspe with complications after suburethral sling insertion were analyzed. All patients underwent pelvic floor ultrasound to assess: urethral length, sling location in relation to the urethral length (%) and the sling distance to the longitudinal smooth muscle complex of the urethra (the sling\u2013longitudinal smooth muscle distance).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The shortest median sling\u2013longitudinal smooth muscle distance was observed in patients with recurrent urinary tract infections, urinary retention and overactive bladder: 0.9, 1.1 and 1.75 mm, respectively (<jats:italic>P<\/jats:italic> &lt; 0.05). In women with persistent stress urinary incontinence and sling erosion, the sling\u2013longitudinal smooth muscle distance was 3.6 and 4.6 mm, respectively (<jats:italic>P<\/jats:italic> &lt; 0.05). Persistent stress urinary incontinence was connected with the position of the sling in relation to the bladder neck \u2013 in these patients, the sling was closer to the bladder neck.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sling location plays a pivotal role in the occurrence of certain complications. The sling position in the proximal part of the urethra or between the middle and proximal urethra appears to be connected with a high rate of unsuccessful stress urinary incontinence treatment. A sling\u2013longitudinal smooth muscle distance below 2 mm is often connected with sling complications, such as overactive bladder, urinary retention and recurrent urinary tract infections.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13262","type":"journal-article","created":{"date-parts":[[2016,12,2]],"date-time":"2016-12-02T00:02:55Z","timestamp":1480636975000},"page":"145-150","source":"Crossref","is-referenced-by-count":36,"title":["Are complications of stress urinary incontinence surgery procedures associated with the position of the sling?"],"prefix":"10.1111","volume":"24","author":[{"given":"Jacek","family":"Kociszewski","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Evangelical Hospital Hagen\u2010Haspe Hagen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Fabian","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Evangelical Hospital Hagen\u2010Haspe Hagen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Grothey","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Evangelical Hospital Hagen\u2010Haspe Hagen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kuszka","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Evangelical Hospital Hagen\u2010Haspe Hagen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneta","family":"Zwierzchowska","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics and Gynecology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Majkusiak","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics and Gynecology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Barcz","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics and Gynecology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11022.x"},{"key":"e_1_2_7_3_1","first-page":"1","article-title":"An integral theory and its method for the diagnosis and management of female urinary incontinence","volume":"153","author":"Petros PE","year":"1993","journal-title":"Scand. 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