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Complications of mid‐urethral slings for treatment of stress urinary incontinence
Author(s) -
Pushkar Dmitry Y.,
Godunov Boris N.,
Gvozdev Michail,
Kasyan Gevorg R.
Publication year - 2011
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2010.10.024
Subject(s) - medicine , urinary incontinence , surgery , incidence (geometry) , hematoma , perforation , body mass index , urology , materials science , optics , punching , metallurgy , physics
Objective To compare the incidence of complications associated with the use of retropubic tension‐free vaginal tape (TVT) and transobturator tension‐free vaginal tape (TVT‐O) for the management of stress urinary incontinence (SUI). Methods In a cross‐sectional study, 1081 patients were treated for SUI via mid‐urethral slings, and the outcomes of those treated via TVT and those treated via TVT‐O were compared. Patients who suffered from recurrent or mixed urinary incontinence were excluded. Results Group 1 included patients treated via TVT (n = 207) and group 2 included those treated with TVT‐O (n = 570). There was a higher incidence of bladder perforation (5.4% versus 0.6%; P = 0.001) and hematoma formation (9.1% versus 1.5%; P = 0.001) in group 1 than in group 2. Compared with group 1, there was higher incidence of vaginal wall perforation in group 2 (0.0% versus 3.8%, P = 0.044). The rate of intraoperative complications was not related to patient age, body mass index, or parity. Of the patients who did not leak urine during a cough test 1 month after surgery, 90.9% still had a negative cough test at the long‐term follow‐up. Conclusion TVT‐O was superior to TVT with regard to the incidence of bladder perforation and hematoma formation, but it resulted in more vaginal wall injuries.