| Domaine : |
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Sciences du Vivant/Biologie animale/Médecine vétérinaire et santé animal
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PMID (identifiant
de la référence Pubmed) : |
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 (16319764) |
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| Titre : |
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[Urinary complications in sub-urethral sling procedures] |
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| Auteur(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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| Laboratoire : |
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| Résumé : |
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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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Langue du texte
intégral : |
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Français |
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| Type de publication : |
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Articles dans des revues avec comité de lecture |
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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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internationale |
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| Date de publication : |
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12/2005 |
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| Volume : |
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34 |
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| Numéro : |
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8 |
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| Page, identifiant, ... : |
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745-56 |
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| Descripteur(s) MeSH : |
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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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