External iliac artery injury during insertion of tension-free vaginal tape: a case report and literature review

Sivanesan, Kanapathippilai; Abdel‐Fattah, Mohamed; Ghani, Rauf

doi:10.1007/s00192-006-0283-7

Cited by 21 publications

(11 citation statements)

References 24 publications

(26 reference statements)

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“…There were no cases of bladder perforation, which occurs in up to 11% of TVT procedures [24]. Nor were there any cases of vessel injury, which usually results from the blind course of the needles and occurs in up to 4.0% of those treated with TVT [25]. Furthermore, no patient suffered from postoperative persistent groin or thigh pain due to obturator nerve entrapment by the mesh, which occurs in up to 14.3% of those treated with the transobsturator sling series [26].…”

Section: Discussionmentioning

confidence: 99%

Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up

Kim

Lee

2010

Korean J Urol

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PurposeWe compared outcomes of the U- and H-type approaches of the tension-free vaginal tape (TVT)-Secur procedure for the treatment of female stress urinary incontinence (SUI).Materials and MethodsFrom March 2007 to July 2008, 115 women with SUI underwent TVT-Secur by a single surgeon. Patients were randomly assigned to either the U- or the H-type approach. After 12 months, postoperative changes in the Sandvik questionnaire, incontinence quality of life questionnaire (I-QoL), Bristol female lower urinary tract symptoms-scored form (BFLUTS-SF), and postoperative patient satisfaction were evaluated. Cure was regarded as no leakage on the Sandvik questionnaire. Complications were also evaluated.ResultsOf 115 women, 53 were treated with the U approach, and 62 women were treated with the H approach. At 12 months, 88.7% of those treated with the U approach and 87.1% of those treated with the H approach were cured (p=0.796). The I-QoL and filling, incontinence, sexual function, and QoL sum (BFLUTS-SF) scores were improved with both approaches, and there were no significant differences in the degree of improvement between approaches. Approximately 83.7% and 82.9% of the women treated with the U and H approaches, respectively, were satisfied with the outcome (p=0.858). There were 3 cases of intra-operative vaginal wall perforation in the H-type group. Immediate postoperative retention was observed in 2 women in the U-type group and 1 woman in the H-type group. One woman in the U-type group underwent tape releasing and cutting procedures for persistent large post-void residuals.ConclusionsThe U- and the H-type approaches of the TVT-Secur procedure provided comparable effectiveness for the treatment of female SUI.

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Section: Discussionmentioning

confidence: 99%

Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up

Kim

Lee

2010

Korean J Urol

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“…There were no cases of bladder perforation, which occurs in up to 11% of TVT procedures . There were no cases of vessel injury, which usually results from the blind course of the needle and occurs in up to 4.0% of those treated with TVT . Furthermore, no patient suffered from postoperative persistent groin or thigh pain due to obturator nerve entrapment by the mesh, which occurs in up to 14.3% of those treated with the trans‐obturator sling series .…”

Section: Discussionmentioning

confidence: 99%

Tension‐Free Vaginal Tape‐SECUR Procedure for the Treatment of Female Stress Urinary Incontinence: 3‐Year Follow‐Up Results

Lee

et al. 2013

LUTS

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“…Major vessel injury and bowel injury are exceedingly rare and are found in 0.07% and 0.04% of cases, respectively [11]. If major vessel injury is suspected because of unstable hemodynamic findings, primary repair can be possible [12]. Persistent low abdominal pain resistant to analgesics postoperatively must raise the suspicion of bowel injury, especially in patients with a previous history of pelvic operations.…”

Section: Intraoperative Complicationsmentioning

confidence: 99%

Management of Complications After Tension-Free Midurethral Slings

Çeti̇nel

Tarcan

2013

Korean J Urol

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Since their introduction in 1996, tension-free midurethral slings (MUS) have been proven to have long-term efficacy and safety. They are considered the gold standard treatment of female stress urinary incontinence, especially in cases that are associated with urethral hypermobility. However, they are not free of complications and, although rare, some of these complications can be challenging for both patients and physicians. Some complications occur intraoperatively, whereas others appear in the early or late postoperative period. There is less controversy in the diagnosis and treatment of complications such as vaginal extrusion or urinary system erosion, whereas de novo voiding problems are at best not completely understood. Voiding dysfunction after MUS placement may vary in a wide range from urinary frequency or urgency to retention and is usually attributed to the obstructive or irritative effect of the sling. However, present urodynamic criteria for the diagnosis of female infravesical obstruction are not satisfactory, and the best management policy for de novo voiding dysfunction remains controversial. In the majority of cases, the diagnosis of obstruction leading to a urethral release surgery depends on a combination of several clinical findings. The timing of urethral release surgery varies depending on the preferences of the surgeon, and the outcome of this surgery is not always predictable. The purpose of this review was to assess the diagnosis and management of the immediate, short-term, and long-term complications of MUS in light of the current literature in an attempt to determine the best management policy.

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External iliac artery injury during insertion of tension-free vaginal tape: a case report and literature review

Cited by 21 publications

References 24 publications

Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up

Randomized Comparative Study of the U- and H-Type Approaches of the TVT-Secur Procedure for the Treatment of Female Stress Urinary Incontinence: One-Year Follow-Up

Tension‐Free Vaginal Tape‐SECUR Procedure for the Treatment of Female Stress Urinary Incontinence: 3‐Year Follow‐Up Results

Management of Complications After Tension-Free Midurethral Slings

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