title: [Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter?].
abstract: OBJECTIVE
  Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately remove the catheter. The objective of the current study was to assess the results associated with immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure.
  
  
  METHODS
  Retrospective case-control study. Group 1 (cases): 8 women who have experienced bladder injury during retropubic MUS procedure and group 2 (controls): 32 women (ratio of controls to cases: 4:1).
  
  
  RESULTS
  Mean (sd) age, BMI and MUCP were 62(13) vs. 59(10), 25(4) vs. 26(4) and 42(18) vs. 43(16), in group 1 and group 2, respectively (P=0.55, 0.56 and 0.92). Minimum follow-up duration was 12 months. None patient was lost to follow-up in group 1 (cases) and 2 patients were lost to follow-up in group 2 (controls) at 12 months follow-up. No rehospitalization or postoperative complication was noted in both groups. Immediate suprapubic postoperative pain exceeding 30/100 on VAS occurred in 1/8 (12%) and 3/32 (10%), in group 1 and group 2, respectively (P=1.00). Urinary stress incontinence cure rates were not significantly different between the two groups: 8/8 (100%) vs. 28/32 (87%), in group 1 and group 2, respectively (P=0.56). The level of satisfaction was comparable in both groups: PGI-I score was equal to 1(very satisfied) in 6/8 women (75%) and in 24/32 women (75%), in group 1 and group 2, respectively (P=1.00). De novo urgency was observed in 0/8 (0%) vs. 3/32 (10%), in group 1 and group 2, respectively (P=1.00).
  
  
  CONCLUSIONS
  In the current short retrospective series, immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure was not associated with an increased prevalence of complications.
  
  
  METHODS
  4.
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, GHU-Sud, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris (AP-HP), 92141 Clamart, France.
authors.forename: V
authors.initials: V
authors.lastname: Canel
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, GHU-Sud, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris (AP-HP), 92141 Clamart, France; Faculté de médecine, université Paris Sud, 94270 Le Kremlin-Bicêtre, France.
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, GHU-Sud, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris (AP-HP), 92141 Clamart, France.
authors.forename: I
authors.initials: I
authors.lastname: Wigniolle
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, GHU-Sud, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris (AP-HP), 92141 Clamart, France.
authors.forename: A L
authors.initials: AL
authors.lastname: Rivain
authors.affiliation: Faculté de médecine, université Paris Sud, 94270 Le Kremlin-Bicêtre, France.
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, GHU-Sud, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris (AP-HP), 92141 Clamart, France; Faculté de médecine, université Paris Sud, 94270 Le Kremlin-Bicêtre, France. Electronic address: xavier.deffieux@abc.aphp.fr.
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D016022:Case-Control Studies; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008875:Middle Aged; D011182:Postoperative Care; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D053825:Suburethral Slings; D001743:Urinary Bladder / Q000293:injuries*; D014546:Urinary Catheterization
keywords: Ablation sonde vésicale; Bandelette sous-urétrale; Bladder injury; Cystotomy; Mid-uretral sling; Perforation vésicale; Plaie vésicale; Removal of catheter drainage; TVT