Reasons for and treatment of surgical complications with alloplastic slings

Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jan;17(1):3-13. doi: 10.1007/s00192-005-1331-4. Epub 2005 Jun 18.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Humans
  • Prostheses and Implants / adverse effects*
  • Reoperation
  • Urinary Incontinence, Stress / surgery*