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BackTable / OBGYN / Podcast / Episode #40
Midurethral Slings vs Bulkamid: What Clinicians Need to Know
with Dr. Tamsin Greenwell
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.
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BackTable, LLC (Producer). (2023, December 6). Ep. 40 – Midurethral Slings vs Bulkamid: What Clinicians Need to Know [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Tamsin Greenwell
Dr. Tamsin Greenwell is a consultant urological surgeon at University College Hospital at Westmoreland Street in London, England.
Dr. Suzette Sutherland
Dr. Suzette Sutherland is the director of female urology with UW Medicine in Seattle, Washington.
Synopsis
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.
Timestamps
00:00 - Introduction
03:48 - Discussion on Midurethral Slings
11:05 - The Mesh Controversy and Its Impact
22:21 - Shared Decision Making in Treatment Options
26:47 - The Role of Urethral Bulking Agents
32:51 - Comparative Trial and EAU Guidelines
42:12 - Conclusion and Closing Remarks
Resources
Bulkamid Injections
https://bulkamid.com/en-US
Transcript Preview
We know that stress incontinence affects about 20% of women perimenopausally between the age of 46 to 60. Even if I do say so myself to you, Suzette, it's the prime of their lives. We know that stress incontinence significantly adversely affects mental and physical well-being.
It's got negative effects on intimate relationships, on the ability to work. It's really difficult to teach if you're hoochingly wet into pads. Because of the breakdown of relationships, the inability to work effectively, it also affects the financial status. It's also costly. Pads cost in excess of £100 a month, $130 a month at least, so it really has a negative impact on women. I feel so sad if they're sitting at home coping because they're frightened of side effects.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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