Management of the complications of pubovaginal sling surgery

Authors : Omer BAYRAK, Burhan COSKUN, Murat DİNCER, Kadir ONEM, Rahmi ONUR

Pages : 264-268

Doi:10.18621/eurj.287838

View : 22 | Download : 9

Publication Date : 2017-11-04

Article Type : Research Paper

Abstract :Objective. To present complications of pubovaginal sling surgery insert ignore into journalissuearticles values(PVS); and their managements. Methods. A total of 21 patients who underwent PVS in 4 different tertiary refferal centers between June 2014 and May 2016 were reviewed retrospectively. Demographic characteristics of the patients, previous 6 history, daily pad use, Urogenital Distress Inventory insert ignore into journalissuearticles values(UDI-6); and Incontinence Impact Questionnaire insert ignore into journalissuearticles values(IIQ); were recorded. Also, the management of the complications were stated. Results. The mean age of the patients were 54.9±12.32 insert ignore into journalissuearticles values(range, 36-76); years. Six insert ignore into journalissuearticles values(28.5%); patients had a history of previous incontinence surgery and 15 insert ignore into journalissuearticles values(71.4%); patients were n aïve . There were no intraoperative complications. The mean daily pad use was decreased from 4.04±0.95 to 0.95±0.86 insert ignore into journalissuearticles values( p =0.0001);. While mean preoperative UDI-6 scores were decreased from 6.66±2.09 to 2.09±1.22 insert ignore into journalissuearticles values( p =0.0001); at postoperative sixth month ; preoperative mean IIQ-7 scores decreased from 16.8±1.16 to 5.09±4.21 insert ignore into journalissuearticles values( p =0.0001); at postoperative sixth month. One insert ignore into journalissuearticles values(4.76%); patient had abdominal hernia at postoperative 2 nd year, three insert ignore into journalissuearticles values(14.28%); patients had an increased post-micturational residual insert ignore into journalissuearticles values(150-200ml); and two insert ignore into journalissuearticles values(9.52%); patients had urinary retention. Conclusion. Although the efficiency of PVS is high; one should aware of complications. The successful management of the complications will increase efficiency and patient satisfaction.
Keywords : rectus fascia, Complication, pubovaginal sling, stress urinary incontinence