| Subject: |
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Life Sciences/Animal biology/Veterinary medicine and animal Health
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| PMID (PubMed ID): |
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 (16319764) |
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| Title: |
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[Urinary complications in sub-urethral sling procedures] |
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| Author(s): |
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X. Deffieux1, K. Bonnet, N. Chevalier2, 3, 4, A. Gervaise, R. Frydman5, H. Fernandez5, 6, 7 |
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| Laboratory: |
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| Abstract: |
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INTRODUCTION: Urinary complications following sub urethral sling procedures are common, and management of these complications continue to be discussed. METHODS: The literature available on Medline/PubMed, relating to urinary complications associated with suburethral sling procedures, was reviewed. RESULTS: Bladder perforation, which occurs with an incidence of 5.7% in tension-free vaginal tape procedure, requires repositioning of the sling, but does not cause any increase in postoperative morbidity. The trans-obturator approach appears to decrease this risk. Urethral perforation, which is uncommon (0.4-1%), is a contraindication to maintenance of the sling. Bladder erosion is rare, requiring resection of the mesh with a combined abdominal and cystoscopic approach. Urethral mesh erosion (0.07% to 1.5%) also requires surgical sling removal, but few patients remain continent because this removal requires a large urethrolysis (recurrence rate of incontinence is 66% following removal of the sling). Bladder outlet obstruction occurs frequently after sub-urethral procedures. When complete obstruction is clinically evident 2 days after a sub-urethral sling procedure, immediate reintervention is performed with a rapid return to normal voiding. Recurrence rate of stress incontinence is less than 30% following reintervention. |
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| Fulltext language: |
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French |
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| Publication type: |
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Article in peer-reviewed journal |
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| Journal: |
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Journal de gynécologie, obstétrique et biologie de la reproduction |
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| Audience: |
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international |
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| Publication date: |
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2005-12 |
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| Volume: |
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34 |
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| Issue: |
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8 |
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| Page, identifiant, ...: |
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745-56 |
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| MeSH Classification: |
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Equipment Failure – Female – Humans – Intraoperative Complications – MEDLINE – Postoperative Complications – Recurrence – Surgical Mesh – Urethra – Urinary Bladder – Urinary Bladder Diseases – Urinary Bladder Neck Obstruction – Urinary Incontinence – Urinary Tract Infections – Urologic Diseases – Urologic Surgical Procedures |
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