Abstract
The goal of this paper is to provide the reader with three distinct definitions of midurethral sling failure and provide guidance on the work up and management of each definition. The definition of sling failure should include not only patients with recurrent and persistent stress urinary incontinence but also those with de novo voiding symptoms and overactive bladder as a result of their midurethral sling. Urodynamics are less commonly performed for the straightforward patient with stress urinary incontinence prior to a midurethral sling. However, there is evidence that urodynamics studies can help with diagnosis and guide management in the patient with a failed midurethral sling. When a patient experiences abnormalities of urinary storage or emptying after a midurethral sling, a comprehensive workup can help guide thoughtful and effective management of symptoms.
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