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Titre du document / Document title

Bladder perforation during tension-free vaginal tape surgery : Does it matter?

Auteur(s) / Author(s)

GOLD Ronen S. (1) ; GROUTZ Asnat (1) ; PAUZNER David (1) ; LESSING Joseph (1) ; GORDON David (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, LIS Maternity Hospital, Tel Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, ISRAEL

Résumé / Abstract

OBJECTIVE: To analyze the incidence, possible risk factors, preoperative morbidity and outcome results in tension-free vaginal tape (TVT) cases complicated by lower urinary tract injury in a large, heterogeneous, consecutive group of women. STUDY DESIGN: Four hundred sixty consecutive women who underwent TVT surgery for correction of urodynamically proven stress urinary incontinence were enrolled prospectively. All the procedures were performed at 1 center by 3 experienced surgeons. RESULTS: In this series, 3.9% cases of lower urinary tract injury occurred. Most of the injuries occurred during the learning curve. TVT-related urinary tract injury was not associated with increased perioperative morbidity. The cure rates were similar with and without injury. De novo urge and persistent urge incontinence were slightly more common in patients with bladder perforation. CONCLUSION: Lower urinary tract injury during the TVT procedure is directly related to the inexperience of the surgeon. However, TVT-related lower urinary tract injury does not appear to affect medium-term outcome results.

Revue / Journal Title

Journal of reproductive medicine    ISSN  0024-7758   CODEN JRPMAP 

Source / Source

2007, vol. 52, no7, pp. 616-618 [3 page(s) (article)] (6 ref.)

Langue / Language

Anglais

Editeur / Publisher

Science, St. Louis, MO, ETATS-UNIS  (1969) (Revue)

Mots-clés anglais / English Keywords

Urinary tract disease

;

Bladder disease

;

Voiding dysfunction

;

Urinary system disease

;

Urinary system

;

Tension free vaginal tape

;

Sub urethral tape

;

Treatment

;

Andrology

;

Obstetrics

;

Gynecology

;

Urinary stress incontinence

;

Perforation

;

Urinary bladder

;

Surgery

;

Mots-clés français / French Keywords

Voie urinaire pathologie

;

Vessie pathologie

;

Trouble miction

;

Appareil urinaire pathologie

;

Appareil urinaire

;

Bandelette vaginale sans tension

;

Bandelette sous uréthrale

;

Traitement

;

Andrologie

;

Obstétrique

;

Gynécologie

;

Incontinence urinaire effort

;

Perforation

;

Vessie urinaire

;

Chirurgie

;

Mots-clés espagnols / Spanish Keywords

Vía urinaria patología

;

Vejiga patología

;

Trastorno micción

;

Aparato urinario patología

;

Aparato urinario

;

Tratamiento

;

Andrología

;

Obstétrico

;

Ginecología

;

Incontinencia urinaria esfuerzo

;

Perforación

;

Vejiga

;

Cirugía

;

Mots-clés d'auteur / Author Keywords

urinary stress incontinence

;

bladder

;

tension-free vaginal tape

;

Localisation / Location

INIST-CNRS, Cote INIST : 17097, 35400014671540.0070

Nº notice refdoc (ud4) : 18963301



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