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Managing complications of slings
Alienor S Gilchrist1, Eric S Rovner
1Department of Urology, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Current Opinion in Urology
|April 27, 2011
Summary
Sling surgery for stress urinary incontinence (SUI) is increasing, leading to new complications. This review covers preventing, diagnosing, and treating these complications for better patient outcomes.
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- The prevalence of stress urinary incontinence (SUI) treatment has risen with advancements in materials and less invasive surgical techniques.
- This evolving landscape necessitates a contemporary understanding of surgical complications associated with SUI treatment.
Purpose of the Study:
- To review the prevention, diagnosis, and management of complications arising from sling surgery for SUI.
- To provide insights into contemporary complications compared to historical data.
Main Methods:
- Literature review focusing on complications of SUI sling surgery.
- Analysis of intraoperative and postoperative complications.
- Discussion of diagnostic and treatment strategies.
Main Results:
- Proper diagnosis and evaluation are key to preventing complications.
- Intraoperative issues include bleeding and urinary tract injury, influenced by surgeon experience and technique.
- Postoperative complications encompass voiding dysfunction, retention, erosion, pain, and sexual dysfunction.
Conclusions:
- A comprehensive understanding of sling surgery complications is crucial for physicians.
- Evolving surgical treatments for SUI require ongoing physician education on potential adverse events.
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