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====== Contraindications ====== *'''<span style="color:#ff0000">Should not utilize a synthetic MUS in patients undergoing concomitant (3):</span>''' *#'''<span style="color:#ff0000">Urethral diverticulectomy</span>''' *#'''<span style="color:#ff0000">Repair of urethrovaginal fistula</span>''' *# '''<span style="color:#ff0000">Urethral mesh excision</span>''' **Mesh placed in close proximity to a concurrent urethral incision can theoretically affect wound healing, potentially resulting in mesh perforation. **Instead, an anti-incontinence procedure that does not involve placement of synthetic material suburethrally, or use of a biologic material, preferably autologous fascia, should be considered. *'''<span style="color:#ff0000">Consider avoiding the use of mesh in patients undergoing SUI surgery who are at risk for poor wound healing, including</span>''' *#'''<span style="color:#ff0000">Following radiation therapy</span>''' *#'''<span style="color:#ff0000">Presence of significant scarring</span>''' *#'''<span style="color:#ff0000">Poor tissue quality</span>''' *#'''<span style="color:#ff0000">Long-term steroid use</span>''' *#'''<span style="color:#ff0000">Impaired collagen associated with systemic autoimmune disorders, such as visceral Sjogren’s disease or systemic lupus erythematosus</span>''' *#'''<span style="color:#ff0000">Immune suppression</span>'''
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