Reasons for and treatment of surgical complications with alloplastic slings.
Suburethral slings with tension-free vaginal tapes have become a popular treatment for stress urinary incontinence. Case reports on singleton complications are numerous and of clinical interest. Four European centers for urogynecology report on 328 surgical reinterventions after tension-free slings. Poor surgical technique is the most frequent cause of problems (45%), followed by incorrect indication (38%). The most frequent symptom is functional or anatomical outlet obstruction; perforation or penetration and defect healing are rare, but, apparently more frequent than described in studies or follow-up series previously.
Petri
Eckhard
E
Department of Obstetrics and Gynecology, Helios-Clinics Schwerin, University of Rostock, Wismarsche Str. 397, 19049, Schwerin, Germany. epetri@schwerin.helios-kliniken.de
Niemeyer
Ruediger
R
Martan
Alois
A
Tunn
Ralf
R
Naumann
Gert
G
Koelbl
Heinz
H
D006801:Humans; D019736:Prostheses and Implants / Q000009:adverse effects*; D012086:Reoperation; D014550:Urinary Incontinence, Stress / Q000601:surgery*