In this episode of the Backtable OBGYN Podcast, host Dr. Suzette Sutherland (University of Washington) and Dr. Tamsin Greenwell (University College London Hospitals) discuss surgical treatments for incontinence and their comparative efficacies.

They focus mainly on midurethral slings and a new urethral bulking agent called Bulkamid. They further analyze how conditions like product expectations, surgeon expertise, data availability, patient preferences, and financial costs influence the choice of procedure. Additionally, they discuss the impact of mesh-related complications and how they affected the usage of synthetic slings in the UK. Finally, they touch on the role of shared decision making in choosing treatment strategies.

---

EARN CME

Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/p4RNfi

---

SHOW NOTES

00:00 - Introduction03:48 - Discussion on Midurethral Slings11:05 - The Mesh Controversy and Its Impact22:21 - Shared Decision Making in Treatment Options26:47 - The Role of Urethral Bulking Agents32:51 - Comparative Trial and EAU Guidelines42:12 - Conclusion and Closing Remarks

---

RESOURCES

Bulkamid Injectionshttps://bulkamid.com/en-US