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Complications following Tension-Free Vaginal Tapes: Accurate Diagnosis and Complications Management.

Kociszewski J, Kolben S, Barski D, Viereck V, Barcz E - Biomed Res Int (2015)

Bottom Line: The sling procedures are the gold standard for SUI treatment.They are highly effective but not free from complications.The most important question that arises after 20 years of sling procedures is how to manage the complications and what can be offered to complicated patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Lutheran Hospital Hagen-Haspe, Brusebrinkstra├če 20, 58135 Hagen, Germany.

ABSTRACT
The sling procedures are the gold standard for SUI treatment. They are highly effective but not free from complications. The most common adverse effect for the surgery with the implant insertion is: overactive bladder occurring de novo after the surgery, voiding dysfunctions, urine retention, and unsatisfactory treatment outcome. The most important question that arises after 20 years of sling procedures is how to manage the complications and what can be offered to complicated patients. The above review summarises the ultrasound findings in complicated cases and shows the scheme of management of the clinical problems concerning the tape location in suburethral region.

No MeSH data available.


Related in: MedlinePlus

Pelvic floor ultrasound examination in frontal plane. Asymmetric sling position. On the right hand side of the picture the distance of the sling to the LSM complex is much shorter than on the left hand side. A loosening of the implant on the right hand side should be undertaken.
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fig4: Pelvic floor ultrasound examination in frontal plane. Asymmetric sling position. On the right hand side of the picture the distance of the sling to the LSM complex is much shorter than on the left hand side. A loosening of the implant on the right hand side should be undertaken.

Mentions: In order to decide which side to draw on, it is necessary to evaluate the symmetry of the sling on the frontal and axial plane and then to evaluate the narrow or rather the urethra proximal side and then to loosen accordingly (Figure 4).


Complications following Tension-Free Vaginal Tapes: Accurate Diagnosis and Complications Management.

Kociszewski J, Kolben S, Barski D, Viereck V, Barcz E - Biomed Res Int (2015)

Pelvic floor ultrasound examination in frontal plane. Asymmetric sling position. On the right hand side of the picture the distance of the sling to the LSM complex is much shorter than on the left hand side. A loosening of the implant on the right hand side should be undertaken.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4418011&req=5

fig4: Pelvic floor ultrasound examination in frontal plane. Asymmetric sling position. On the right hand side of the picture the distance of the sling to the LSM complex is much shorter than on the left hand side. A loosening of the implant on the right hand side should be undertaken.
Mentions: In order to decide which side to draw on, it is necessary to evaluate the symmetry of the sling on the frontal and axial plane and then to evaluate the narrow or rather the urethra proximal side and then to loosen accordingly (Figure 4).

Bottom Line: The sling procedures are the gold standard for SUI treatment.They are highly effective but not free from complications.The most important question that arises after 20 years of sling procedures is how to manage the complications and what can be offered to complicated patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Lutheran Hospital Hagen-Haspe, Brusebrinkstra├če 20, 58135 Hagen, Germany.

ABSTRACT
The sling procedures are the gold standard for SUI treatment. They are highly effective but not free from complications. The most common adverse effect for the surgery with the implant insertion is: overactive bladder occurring de novo after the surgery, voiding dysfunctions, urine retention, and unsatisfactory treatment outcome. The most important question that arises after 20 years of sling procedures is how to manage the complications and what can be offered to complicated patients. The above review summarises the ultrasound findings in complicated cases and shows the scheme of management of the clinical problems concerning the tape location in suburethral region.

No MeSH data available.


Related in: MedlinePlus