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European Market Report for Female Urinary Incontinence Slings

European Market Report for Female Urinary Incontinence Slings

  • September 2016
  • 82 pages
  • ID: 4175338
  • Format: PDF
  • By iData Research, Inc.

Summary

Table of Contents

Urinary incontinence slings can be made of synthetic mesh, non-synthetic mesh or autologous tissue harvested from the patient to create a sling or “hammock” under the patients urethra or bladder neck (the area of thickened muscle where the bladder connects to the urethra). Vaginal slings always require a surgical procedure for installation; however, the degree of invasiveness of the procedure varies depending on the type of sling.

Procedure options include the installation of tension-free vaginal tape surgery (TVT) for mid-urethral sling procedures, transobturator tape slings (TOT) for the transobturator approach and single-incision, also known as mini-slings, for SUI.

The mid-urethral sling procedure is the most common surgery for incontinence and is a minimally-invasive, outpatient procedure. Although the mid-urethral procedure has been successful for many women, many national health authorities such as the FDA have issued warnings about the complications and side-effects which have been documented with surgical mesh procedures. In 2008 and 2011, the FDA issued public health notifications on serious complications associated with surgical mesh placed through the vagina (transvaginal placement) to treat SUI and pelvic organ prolapse (POP). The response in the United States has been more severe than in Europe, with many women filing lawsuits and vaginal sling procedures declining. This is possibly due to the absence of public health care in the United States and the increased costs associated with repeat procedures and additional required medical treatments.


Abstract
Female urinary incontinence affects approximately 10% of the population at some point in their lives. Urinary incontinence affects both women and men; however, there is a greater prevalence of incontinence amongst women. The difference is often attributed to changes that occur during pregnancy and childbirth as well as additional factors such as menopause. There are four main categories recognized for urinary incontinence, with 50% of cases diagnosed as stress urinary incontinence (SUI). Surgical treatment using a urinary incontinence sling is one of the most recommended options to help SUI patients become incontinence-free.

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