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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Petri, Eckhard Ashok, Kiran |
| Description | Country affiliation: Germany Author Affiliation: Petri E ( Division of Urogynecology, Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany. profpetri@gmx.de) |
| Abstract | OBJECTIVES: To analyze different complications of synthetic suburethral slings, and to apply the new 'IUGA-ICS classification of complications directly related to the insertion of prosthesis (meshes, implants, tapes) and grafts in female pelvic floor surgery' to the list of complications, check its applicability, and give suggestions regarding possible improvements. STUDY DESIGN: This study is an analysis of complications of synthetic suburethral slings. Data on type of complication, time interval between the insertion of the prosthesis and the onset of symptoms of complication, type and nature of prosthesis, and management process were documented. Additional descriptions of the sling position in relation to lower urinary tract, shrinkage or prominence of the prosthesis, and intra-operative nature of the prosthetic material were collected for analysis. RESULTS: From the year 2003 to 2010, 376 women with complications of synthetic suburethral slings were managed surgically and the data were analyzed. Overactive bladder (OAB) at 54%, lower urinary tract obstruction (48%), vaginal exposure (19%), and pain (14%) were the most frequent complications. Infection, fistulae, urinary tract penetration, and groin/thigh pain were other complications. The new IUGA-ICS classification could be applied to most of the types of complications, a notable exception being de novo development of overactive bladder. Also category 4B of IUGA-ICS classifications encompasses a wide clinical variety of complications and may need reconsideration. CONCLUSION: De novo OAB seems to be the commonest complication of synthetic suburethral slings, followed by obstruction, vaginal exposure, and long term pain. The new IUGA-ICS classification on complications has good general applicability; some minor changes may be useful in the future. |
| File Format | HTM / HTML |
| ISSN | 03012115 |
| Issue Number | 2 |
| Volume Number | 165 |
| e-ISSN | 18727654 |
| Journal | European Journal of Obstetrics & Gynecology and Reproductive Biology |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-12-01 |
| Publisher Place | Ireland |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Obstetrics Discipline Gynecology Suburethral Slings Adverse Effects Urinary Bladder, Overactive Etiology Urinary Incontinence, Stress Surgery Adult Aged Aged, 80 And Over Constriction, Pathologic Female Humans International Classification Of Diseases Middle Aged Pain Postoperative Complications Prostheses And Implants Prosthesis Implantation Urinary Tract Vagina Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Reproductive Medicine Obstetrics and Gynecology |
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