Management of the complications of pubovaginal sling surgery

Year 2017, Volume: 3 Issue: 3, 264 - 268, 04.11.2017

Omer Bayrak , Burhan Coskun , Murat Dincer Kadir Onem , Rahmi Onur

https://doi.org/10.18621/eurj.287838

Abstract

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 2^nd 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.

Keywords

rectus fascia, Complication, pubovaginal sling, stress urinary incontinence

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