unscrupulous doctor!

As my students and I have been aware of for months, a new “practice bulletin” was released in November of last year by those woman-hating organizations, the American College of Obstetricians and Gynecologists, and the American Urogynecologic Society, stating that midurethral slings could be used as a first line of treatment for SUI. This was a huge change in policy. Since their inception 15 years ago polypropylene urethral slings were always considered to be a last resort (not that those directives were always followed). It is through medical societies such and these that devices and treatments are endorsed and legally protected as the standard of care. Despicable!

The recommendation is as follows:

“Approximately one half of women with stress-predominant urinary incontinence are satisfied 1 year after starting pelvic floor muscle training. However, it remains unclear whether the addition of pelvic muscle training to a more active treatment already in place, such as pessary,
pharmacologic treatment, or surgical intervention, is beneficial
compared with the active treatment alone. A recent trial
that compared pelvic floor muscle training with midurethral sling
for treatment of stress urinary incontinence found that 49% of
women in the pelvic floor muscle training group crossed over
to surgery, and 11% of women in the surgery group crossed
over to physical therapy. Subjective 1-year cure rates were
85% in the surgery group and 53% in the physical therapy
group, and rates of objective cure were 76.5% and 58.8%, respectively.
These results suggest that although pelvic floor
muscle training generally is regarded as first-line treatment for
stress urinary incontinence, initial midurethral sling surgery may
be offered as an alternative primary treatment option in appropriately
counseled women.”

Thanks for being with us and for your support.

...as far as I can tell.