Ep. 140 Midurethral Slings vs. Bulkamid: What Clinicians Need to Know with Dr. Tamsin Greenwell

In this episode of the Backtable Urology 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. 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. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/p4RNfi --- SHOW NOTES 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