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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, Brusebrinkstraße 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 sagittal plane. Shape changes of the sling with a vaginal probe, a typical pathognomonic ultrasound sign for tethered tape. S: symphysis pubis, BH: bladder neck, and TVT: band.
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fig5: Pelvic floor ultrasound examination in sagittal plane. Shape changes of the sling with a vaginal probe, a typical pathognomonic ultrasound sign for tethered tape. S: symphysis pubis, BH: bladder neck, and TVT: band.

Mentions: If the sling has been accidentally fixed with a vaginal suture, this presents a picture of a primary “tethered tape.” With physical exertion such as coughing the patient remains continent. However because the band is adhered to the vagina when the body posture is adjusted, for example, when standing up, this can result in the opening of the urethra and lead to subsequent urine loss. Appropriate plying of the sling from the adhesion will immediately solve the problem and also preserve the implant [22] (Figure 5).


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 sagittal plane. Shape changes of the sling with a vaginal probe, a typical pathognomonic ultrasound sign for tethered tape. S: symphysis pubis, BH: bladder neck, and TVT: band.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig5: Pelvic floor ultrasound examination in sagittal plane. Shape changes of the sling with a vaginal probe, a typical pathognomonic ultrasound sign for tethered tape. S: symphysis pubis, BH: bladder neck, and TVT: band.
Mentions: If the sling has been accidentally fixed with a vaginal suture, this presents a picture of a primary “tethered tape.” With physical exertion such as coughing the patient remains continent. However because the band is adhered to the vagina when the body posture is adjusted, for example, when standing up, this can result in the opening of the urethra and lead to subsequent urine loss. Appropriate plying of the sling from the adhesion will immediately solve the problem and also preserve the implant [22] (Figure 5).

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, Brusebrinkstraße 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