An international urogynecological association (IUGA)/international continence society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery

Abstract

A consensus-based terminology and classification report for prosthesis and grafts complications in female pelvic floor surgery has been produced, aimed at being a significant aid to clinical practice and research.

High uterosacral vault suspension vs Sacrocolpopexy for treating apical defects: a randomized controlled trial with twelve months follow-up

“…Both ureteric kinkage cases were resolved by repositioning the sutures, and ureteric patency was reassured with a new cystoscopy. SCP presented more postoperative complications; however, all were categorized as Clavien-Dindo II, comprising three seromas, two wound infections, and three urinary tract infections [18]. There were two mesh exposure in the SCP group within 6 months of surgery: in both cases, the mesh became exposed at the level of the vaginal cuff along the suture line; both patients had a previous hysterectomy.…”

Retropubic tension-free vaginal tape and inside-out transobturator tape: a long-term randomized trial

“…Voiding difficulty was defined as the subjective feeling of impaired bladder emptying, with a post-void bladder volume exceeding 100 ml or greater than one third of the voided volume, as measured with a bladder scan the first time the catheter was removed. The long-term postoperative complications recorded were based on the standardized classification of the International Urogynecological Association (IUGA)/ICS working group and included de novo lower urinary tract symptoms (LUTS), tape exposure, dyspareunia, abdominal/ groin pain and recurrent urinary tract infection (UTI) [17]. Storage LUTS were defined as increased daytime frequency of urination, nocturia or urgency.…”

“…Recurrent UTI was defined as three or more symptomatic and medically diagnosed UTIs in the previous year [18]. Dyspareunia was defined as pain during intercourse and was evaluated using item 5 of the PISQ-12: BDo you feel pain during sexual intercourse?^Tape exposure was defined according to the IUGA/ICS as tape visualized through separated vaginal epithelium [17]. The severity of the complications was classified according to the modified Clavien-Dindo classification [19].…”

Effects of Bladder Training and Pelvic Floor Muscle Training in Female Patients with Overactive Bladder Syndrome: A Randomized Controlled Trial

“…Overactive bladder (OAB) is defined as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence (UUI), in the absence of urinary tract infection or other obvious pathology [1]. …”