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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 axial plane. The sling was minimally removed vaginally. Both ends however lie still close to the urethra and disturb the second sling in its function: the so-called collision phenomenon. The patient is incontinent. Tape 1 r.: the right end of the first sling. Tape 1 l.: the left end of the first sling. Tape 2: the second sling.
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fig8: Pelvic floor ultrasound examination in axial plane. The sling was minimally removed vaginally. Both ends however lie still close to the urethra and disturb the second sling in its function: the so-called collision phenomenon. The patient is incontinent. Tape 1 r.: the right end of the first sling. Tape 1 l.: the left end of the first sling. Tape 2: the second sling.

Mentions: In low faulty position of the sling, loosening at a later stage as mentioned above is not an option. In most cases a partial implant removal should be performed vaginally (collision phenomenon) (Figure 8).


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 axial plane. The sling was minimally removed vaginally. Both ends however lie still close to the urethra and disturb the second sling in its function: the so-called collision phenomenon. The patient is incontinent. Tape 1 r.: the right end of the first sling. Tape 1 l.: the left end of the first sling. Tape 2: the second sling.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig8: Pelvic floor ultrasound examination in axial plane. The sling was minimally removed vaginally. Both ends however lie still close to the urethra and disturb the second sling in its function: the so-called collision phenomenon. The patient is incontinent. Tape 1 r.: the right end of the first sling. Tape 1 l.: the left end of the first sling. Tape 2: the second sling.
Mentions: In low faulty position of the sling, loosening at a later stage as mentioned above is not an option. In most cases a partial implant removal should be performed vaginally (collision phenomenon) (Figure 8).

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