Complications of Mid-Urethral Tape Insertion

Panayoti Bachkangi, Maisa Salman

Abstract


Background: Urinary stress incontinence is a health condition affecting millions of women globally with an incidence reaching 35%. The initial management is usually of conservative nature in the form of pelvic floor muscle training. If this fails then surgical management is offered. There are different methods of managing urinary stress incontinence like mid-urethral tape (MUT) insertion, colposuspension or the use of urethral bulking agents. In our unit, MUT insertion has been the conventional method of surgical management.
Methods: The data were obtained from retrospective auditing of our practice in our Trust that was conducted on three different phases over 4 years (2011 to 2015). The source of information was the database and clinical notes.
Results: A total of 221 patients underwent MUT insertion. Thirty-five procedures were performed by urologists and 185 by gynecologists. Twenty-three surgeries were performed by gynecologic trainees under senior supervision. All the MUT insertions performed by urologists were performed by consultants. Fifty patients (22.6%) experienced urinary retention, 18 had to use clean intermittent catheterization (CISC) (8%), and 41 patients (13%) developed symptoms of over-active bladder. There have been four bladder perforations (1.8%) all associated with tension-free vaginal tape (TVT) procedures and two cases of tape erosions (1%). Four patients (5%) complained of groin pain post-operatively; all of them had undergone tension-free obturator tape (TVT-O) procedure. There have been no buttonhole injuries, pelvic hematomata, or bleeding complications. In addition to that there have been no post-operative infections.
Conclusions: Our complication rates have been concomitant with those described in literature. A surgical database proves helpful not only in auditing surgical effectiveness but also in comparing the surgical managements between different surgeons and departments.





J Clin Gynecol Obstet. 2019;8(2):44-47
doi: https://doi.org/10.14740/jcgo544

Keywords


Mid-urethral tapes; Urinary stress incontinence; Complications

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Clinical Gynecology & Obstetrics, quarterly, ISSN 1927-1271 (print), 1927-128X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal, the authors retain the copyright, the journal is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International
License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jcgo.org   editorial contact: editor@jcgo.org    elmer.editorial2@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.