Role of translabial ultrasound in pre- and postoperative assessment of midurethral slings for stress urinary incontinence.

Stress urinary incontinence (SUI) is a common condition characterized by involuntary urine leakage during physical exertion, affecting up to 50% of women over 40 years of age globally and significantly impacting their quality of life. Treatment options include both nonsurgical and surgical approaches, with synthetic midurethral slings being the most widely used surgical technique. While clinical history, physical examination, and urodynamic studies remain the cornerstone of SUI evaluation, ultrasound has gained increasing prominence as a complementary imaging modality. It is cost-effective and provides real-time assessment of both anatomical and functional aspects of the lower urinary tract. Notably, ultrasound also enables detailed evaluation of sling positioning and function, as well as identification and management of postoperative complications. This article aims to review the role of ultrasound in assessing synthetic slings, encompassing both preoperative planning and postoperative follow-up.