ABOG Urogynecology And Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology And Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

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A 62-year-old woman with bothersome stress urinary incontinence has failed pelvic floor physical therapy and desires surgical treatment. Which procedure has level-1 evidence as first-line surgical treatment for SUI?
Correct Answer:
Midurethral sling (retropubic TVT or transobturator TOT) — level-1 evidence as first-line; cure rates ~85%; SISTEr trial showed equivalence to autologous fascial sling; TOMUS compared TVT vs TOT

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