Management of Complications of Prosthetic Mid-urethral Tape Surgery for Stress Urinary Incontinence in Women.

Autor: Stivalet-Schoentgen N; Université Paris-Cité, AP-HP, Hôpital Bichat, Service d'urologie, Paris, France. Electronic address: nadja.stivalet@aphp.fr., Perrouin Verbe MA; Université de Nantes, Centre Hospitalier Universitaire de Nantes, Service d'urologie, Nantes, France., Campagne-Loiseau S; Centre Hospitalier Universitaire de Clermont Ferrand, Service de gynécologie obstétrique, Clermont-Ferrand, France., Donon L; Uropôle, Service d'urologie, Bayonne, France., Levesque A; Université de Nantes, Centre Hospitalier Universitaire de Nantes, Service d'urologie, Nantes, France., Rigaud J; Université de Nantes, Centre Hospitalier Universitaire de Nantes, Service d'urologie, Nantes, France., Venara A; Université d'Angers, Centre Hospitalier Universitaire d'Angers, Service de chirurgie digestive, Angers, France., Thubert T; Université de Nantes, Centre Hospitalier Universitaire de Nantes, Service de gynécologie-obstétrique, Nantes, France., Vidart A; Hôpital Foch, Service d'urologie, Suresnes, France., Bosset PO; Hôpital Foch, Service d'urologie, Suresnes, France., Revel-Delhom C; Haute autorité de santé, Saint-Denis, France., Lucot JP; Université catholique de Lille, Service de gynécologie-obstétrique, Lille, France., Deffieux X; Université Paris-Saclay, AP-HP, Hôpital Antoine Béclère, Service de gynécologie obstétrique, Clamart, France., Hermieu JF; Université Paris-Cité, AP-HP, Hôpital Bichat, Service d'urologie, Paris, France.
Jazyk: angličtina
Zdroj: Urology [Urology] 2024 Dec; Vol. 194, pp. 43-51. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1016/j.urology.2024.08.064
Abstrakt: Objective: To propose guidelines for the management of complications of prosthetic mid-urethral tape surgery for stress urinary incontinence in women.
Methods: These guidelines are based on an exhaustive literature review on retropubic and trans-obturator mid-urethral tape complications. The expert panel rated the level of evidence of each study, summarized literature for the treatment of each complication, and proposed guidelines.
Results: Management of these complications is complex and the first treatment is crucial to offer the best functional result to the patient. We propose a standardized approach and guidelines for the management of complications to help physicians to early identify a surgical complication, offer adequate treatment for each complication and provide clear and appropriate information to patients. We detailed management of intraoperative complications as follows: bladder, urethral, vaginal, visceral, and vascular injury; short-term post-operative complications are the following: bleeding/hematoma, voiding dysfunction, pain, infection; and long-term post-operative complications are the following: chronic voiding dysfunction, de novo overactive bladder syndrome, chronic pain, dyspareunia, vaginal, bladder, and urethral tape erosion.
Conclusion: These guidelines may help physicians to improve management of prosthetic mid-urethral sling complications that may occur following stress urinary incontinence surgery.
Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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