Objective. To present complications of pubovaginal
sling surgery (PVS) and their managements. Methods. A total of 21 patients who
underwent PVS in 4 different tertiary refferal centers between June 2014 and
May 2016 were reviewed retrospectively. Demographic characteristics of the
patients, previous 6 history, daily pad use, Urogenital Distress
Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ) were recorded.
Also, the management of the complications were stated. Results. The mean age of
the patients were 54.9±12.32 (range, 36-76) years. Six (28.5%)
patients had a history of previous incontinence surgery and 15
(71.4%) patients were naïve. There were no intraoperative complications. The mean daily pad use was
decreased from 4.04±0.95 to 0.95±0.86 (p=0.0001).
While mean preoperative UDI-6 scores were decreased from 6.66±2.09 to 2.09±1.22
(p=0.0001) at postoperative
sixth month; preoperative mean IIQ-7 scores decreased from 16.8±1.16 to 5.09±4.21 (p=0.0001) at postoperative
sixth month. One (4.76%) patient had abdominal hernia at postoperative 2nd year,
three (14.28%) patients had an increased post-micturational residual
(150-200ml) and two (9.52%) patients had urinary retention. Conclusion.
Although the efficiency of PVS is high; one should aware of complications. The
successful management of the complications will increase efficiency and patient
satisfaction.
rectus fascia Complication pubovaginal sling stress urinary incontinence
Konular | Sağlık Kurumları Yönetimi |
---|---|
Bölüm | Original Article |
Yazarlar | |
Yayımlanma Tarihi | 4 Kasım 2017 |
Gönderilme Tarihi | 24 Ocak 2017 |
Kabul Tarihi | 27 Mayıs 2017 |
Yayımlandığı Sayı | Yıl 2017 Cilt: 3 Sayı: 3 |