Complications tension-free vaginal tape surgery

Czech version

Authors: P. Piškytlová
Authors‘ workplace: Gynekologicko-porodnické oddělení, Oblastní nemocnice Kolín, a. s., primář MUDr. A. Toman, MBA
Published in: Ceska Gynekol 2017; 82(3): 243-251

Overview

Objective:
A comprehensive overview of the potential complications associated with vaginal tape operations, which are commonly used in the treatment of stress urinary incontinence in women.

Design:
Review article.

Setting:
Department of Obstetrics and Gynecology, Oblastní nemocnice Kolín, a.s.

Methods:
Using medical databases were searched articles dealing with complications tension-free vaginal tape procedures. In individual cases, complications were observed their causes and solutions.

Results:
Complications were divided into three groups according to the time of their formation due to the operation performed. Intra-operative complications are further divided into a group of severe, when they were wound blood vessels, nerves and bowel. For less serious complications result in injuries to the bladder, vagina injuries. Among peri-operative complications include retropubic hematoma, blood loss > 200 mL and urinary tract infections. The last group are the post-operative complications and transient urinary retention, persistent urinary retention, vaginal erosion, urethral erosion, abscess, actinomycosis, de novo urgency, erosion, bladder, urethral obstruction. Further complications were compared by the method of keeping tapes - retropubic and transobturator procedure.

Conclusion:
Minimally invasive treatment of stress urinary incontinence is not without serious long-term complications and their successful resolution can be a problem. Knowledge of the specifics of individual surgical procedures and their limitations. Given the statements FDA-party use of foreign material in reconstructive procedures for stress incontinence is required safest choice material tapes. Furthermore, the operation was carried out by a surgeon familiar with the method and at the same time able to solve any problems.

Keywords:
complications, surgery, stress urinary incontinence, tape operations

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