title: Perioperative and postoperative complications after Ophira mini sling operations.
abstract: OBJECTIVE
  To evaluate perioperative and postoperative complications of mini sling operations in the surgical treatment of female urinary incontinence.
  
  
  METHODS
  The study was comprised of 151 female patients with stress urinary incontinence (SUI) or mixed incontinence (MUI) with predominant SUI patients who underwent the mini sling procedure. The duration of the follow-up ranged from 6 to 21 months. All women had positive cough stress tests preoperatively. The procedure was performed under local (86.1 %) or spinal anesthesia (13.9 %) with the same mini slings for all cases. Patients were examined in the outpatient clinic at 1 and 6 months after surgery.
  
  
  RESULTS
  The mean age was 49 years old (SD 10) with a range of 26-82. Of the 151 patients, 42 (27.8 %) presented MUI, while 109 (72.2 %) presented SUI. Mean parity was 3 ± 1. Mean body mass index was 28.9 ± 3.5. 60 (39.7 %) of the cases were postmenopausal. There were 73 women who participated in 6 months follow-ups and 78 women who did 1-year follow-ups. The mean operating time was 13 ± 3.1 min. There were no major intraoperative complications due to mini sling surgery. 120 (79.5 %) patients were discharged the day following the surgery. Ten patients (6.1 %) had de novo urge incontinence in their post-operative follow-ups which was resolved using anti-cholinergic drugs. Two patients (1.2 %) required sling sections due to prolonged bladder outlet obstruction. There were 15 patients that complained about de novo dyspareunia (9.9 %). Vaginal mesh extrusion was reported in 18 (11.9 %) patients. The mean preoperative and postoperative hemoglobin concentrations were 12.9 ± 1.3 and 12.5 ± 1.3 g/dL, respectively.
  
  
  CONCLUSIONS
  The mini sling system can be considered an easy and effective method for treating stress urinary incontinence without major complication rates.
authors.affiliation: Ministry of Health Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Cüneyt Eftal
authors.initials: CE
authors.lastname: Taner
authors.forename: Gülin
authors.initials: G
authors.lastname: Okay
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Göklü
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Başoğul
authors.forename: Nurgül
authors.initials: N
authors.lastname: Başoğul
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D014549:Urinary Incontinence / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000601:surgery*; D014621:Vagina / Q000601:surgery