Surgery for Stress Urinary Incontinence

Modified autologous transobturator tape surgery — evaluation of short term results

“…Mahdy et al [31] reported the incidences of de novo urgency and urge incontinence after PVS as 15-20% and 7.2%, respectively. On the other hand, a similar incidence of de novo urgency has been reported for BC and MUSS (10%), more common after RT than TOT [18,30]. Gomez et al suggested that bladder outlet obstruction, bladder perforation and infection are the major causes of de novo urgency [35].…”

“…Blavias et al [30] reported the wound complications rate as 3% after PVS. In our study, only one patient (4%) was diagnosed with wound infection and was treated with non-surgical interventions.…”

“…Literature indicates that PVS, BC and MUSS have similar complication rates [29][30][31][32]. For instance, perioperative bleeding requiring blood transfusion is a serious problem associated with all of these procedures and may occur in up to 2% of the cases [29][30][31][32].…”

“…In the present study, however, no patient had significant blood loss. Another feared complication of these three techniques is bowel, bladder or urethral injury which has been reported in up to 9% of the cases [29][30][31][32]. Higher rates were reported after RT procedures for bladder, vascular and bowel injuries [18].…”

“…Voiding dysfunction and urinary retention requiring urethral catheterization are two well-known complications reported after SUI surgery and have been shown to be associated with urinary bladder detrusor dysfunction and iatrogenic urethral obstruction [30][31][32][33]. The incidence of urinary retention after PVS, BC and MUSS has been reported to be 20%, 8%, and 3%, respectively [19,[31][32].…”