◆）Check for updatesReceived:11July 2022 Revised:2 January 2023Accepted:3 January 2023D0L10.1002/jg0.14683GYNECOLOGYOBSTETRICSSPECIAL ARTICLEFIGOWILEYGynecologyFIGO recommendations:Use of midurethral slings for thetreatment of stress urinary incontinenceHui-Hsuan Lau12.3.4 G.Willy Davilas Ying-Yu Chen2.3 Marair G.F.SartorisZsuzsanna I.K.Jarmy-Di Bellas Jung-Mei Tsai17.8 Yu-Min Liu10Tsung-Hsien Su12.3.8 for FIGO Urogynecology and Pelvic Floor CommitteeMacKay Medical College,New TaipeiCity,TaiwanAbstract2Depar tment of Obstetrics andBackground:Stress urinary incontinence(SUI)is a global problem.It can significantlyGynecology,MacKay Memorial Hospital,Taipei,Taiwanadversely impact a woman's quality of life.The use of synthetic mesh in vaginal sur-Department of Obstetrics andgery is controversial,especially when used for pelvicorgan prolapse surgery.AlthoughGynecology.Hsinchu MacKay Memorialnegative effects have been reported,the synthetic mesh midurethral sling(MUS)isHospital,Hsinchu,Taiwan'MacKay Junior College of Medicine.considered to be safe and effective in the surgical treatment of SUl.Nursing,and Management,Taipei,TaiwanObjectives:To provide evidence-based data and recommendations for the obstetri-SCenter for Urogynecology and Pelviccian/gynecologist who treats women with SUl and performs or plans to perform MUSHealth,Holy Cross Medical Group,FortLauderdale,Florida,USAprocedures.Depar tment of Gynecology.UniversidadeMethods:Academic searches of MEDLINE,the Cochrane Library,Embase,and GoogleFederal de Sao Paulo,Sao Paulo,SP.BrazilScholar articles published between 1987 and March 2020 were performed by a sub-7Collegeof Nursingand Health Sciences,Dayeh University,Changhua,Taiwangroup of the Urogynecology and Pelvic Floor Committee,International Federation ofDepartment of Nursing.MacKayGynecology and Obstetrics(FIGO).Memorial Hospital,Taipei,TaiwanSelection Criteria:The obtained scientific data were associated with a level of evi-Depar tment of Medical Research,Hsinchu MacKay Memorial Hospital,dence according to the Oxford University Centre for Evidence-Based Medicine andHsinchu,TaiwanGRADE Working Group system.In the absence of concrete scientific evidence,theDivision of Cardiology.Departmentrecommendations were made via professional consensus.of Medicine,Hsinchu MacKay MemorialHospital,Hsinchu,TaiwanResults:The FIGO Urogynecology and Pelvic Floor Committee reviewed the litera-ture and prepared this evidence-based recommendations document for the use ofCorrespondenceG.Willy Davila,Center for UrogynecologyMUS for women with SUl.and Pelvic Health,Holy Cross MedicalConclusions:Despite the extensive literature,there is a lack of consensus in theGroup,1000 NE 56th Street,FortLauderdale,FL 33334.USA.optimal surgical treatment of SUl.These recommendations provide a direction forEmait:gwilly.davila@holy-cross.comsurgeons to make appropriate decisions regarding management of SUl.The MUS isconsidered safe and effective in the treatment of SUl,based on many
