Berger AA, et al. - Researchers sought to determine the long-term reoperation risk following synthetic mesh midurethral sling surgery via conducting retrospective cohort study of 17,030 patients treated with primary midurethral slings for stress urinary incontinence (SUI) (2005–2016) within a large managed care organization of 4.5 million members. This cohort exhibited the overall reoperation rate of 2.1% (95% CI 1.9–2.4%) at 1 year, 4.5% at 5 years, and 6.0% at 9 years. Findings here indicate a low long-term risk of reoperation for mesh revision or removal, and recurrent SUI in correlation to midurethral slings. Race was identified affecting the risk of reoperation, with Asian or Pacific Islander patients having a lower reoperation rate when compared with white patients. The type of sling affected the risk of reoperation for recurrent SUI, with reoperation more common after single-incision compared with retropubic sling. This study thereby supports their safety and efficacy for the treatment of women with SUI.