Introduction and Objectives
We present our results in the use of pre-manufactured meshes for the treatment of pelvic organ prolapse and the use of tension-free vaginal tape in the treatment of urinary stress incontinence, with emphasis on the complications and their management.
Material and Methods
Since 2006, 61 patients have undergone surgical repair for pelvic organ prolapse (45 anterior and 16 posterior vaginal wall) with pre-manufactured meshes. For the treatment of urinary stress incontinence, 43 females underwent placement of tension-free vaginal tapes.
Results
The patients were observed from the 1st-6th postoperative months. There was one case of intra-operative puncture of the urinary bladder during the placement of the tension-free vaginal tape, which was managed conservatively. In two patients, urinary retention was observed due to overcorrection of the tension free vaginal tape, and was managed with intermittent catheterizations and finally with section of the tape on the 3rd post-operative day. In the one month follow-up, there was one case of Bartholinitis, which was managed conservatively. Also, one patient presented with de novo urinary stress incontinence after cystocele repair, which was also managed conservatively. In the 3rd month a patient presented with vaginal erosion and de novo urinary stress incontinence after surgical repair of a cystocele. In the 6th post-operative month, no new complications were observed. Two cases of recurrent urinary incontinence were noted, with no recurrence of prolapse.
Conclusions
The surgical repair of pelvic organ prolapse and urinary stress incontinence with vaginal wall meshes and tension-free vaginal tapes has proven to be quick and effective. However, like all surgical procedures, they are not free from complications. Early observation and proper management of the complications is the primary goal in the therapy of these women.
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Copyright
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.
