Complications of TVT - Onehealth.ca
Complications of TVT - Onehealth.ca Complications of TVT - Onehealth.ca
Complications of TVT – Canada (Corcos J et.al. BJU July 2004) • 241 patients • 6 hospital (2 university and 4 community) • 5.8% intraoperative bladder perforation • 2.5% blood loss >500mL • 19.7% urinary retention • 1.9% pelvic hematoma • 0.4% suprapubic wound infection • 4.1% long term voiding dysfunction requiring surgical release • 15% de novo urgency • 7.5% persistent suprapubic discomfort • 0.4% intravaginal tape erosion
TVT long-term outcomes Author N Pt group F/u (yrs) % cure Rezapour 34 Rec SUI 4 82 Rezapour 80 Mixed 4 85 Rezapour 49 ISD 4 74 Deffieux 51 SUI 6.9 80 Nilsson 80 SUI 7 81.3 Moran 40 SUI 2 95 Nilsson 69 SUI 11.5 90/77
- Page 1 and 2: Complications of TVT and TOT Dr. Ja
- Page 3: Introduction • Surgery for stress
- Page 6 and 7: Cochrane Review • Newer slings ar
- Page 8 and 9: Complications of incontinence surge
- Page 10 and 11: Immediate complications Urinary tra
- Page 12 and 13: Short-term complications Infection
- Page 14 and 15: Short-term complications • Fistul
- Page 16 and 17: Long-term complications • Urogeni
- Page 18 and 19: Quality of life issues • Need to
- Page 20 and 21: Gynecare TVT Tension-free Vaginal T
- Page 22 and 23: PUBOVAGINAL SLING: TVT PROLENE MESH
- Page 24 and 25: PUBOVAGINAL SLING: TVT PROLENE MESH
- Page 26 and 27: Failure of TVT • Failure reported
- Page 28 and 29: TVT complications Complication USA
- Page 30: Surgical complications • Impact o
- Page 33 and 34: Analysis of complications in Finlan
- Page 35 and 36: Complications in Italy (Meschia et.
- Page 37: Clinical audit of TVT in the UK (Pr
- Page 41 and 42: TVT vs. TOT: a comparison in terms
- Page 43 and 44: Two-year comparison of tension-free
- Page 45 and 46: Bladder perforation • Reported ri
- Page 47 and 48: Complication: Urethral Injury PREVE
- Page 49 and 50: Vascular injury • Reported risk 0
- Page 51 and 52: Infection • UTI Reported risk 4-8
- Page 53 and 54: Complication: Wound Infection PREVE
- Page 55 and 56: Complication: Vaginal Bleeding / Re
- Page 57 and 58: Complication: Urinary Retention PRE
- Page 59 and 60: Less common complications • Bowel
- Page 61 and 62: Complication: Bowel Perforation PRE
- Page 63: Urethral erosion More than 11 publi
- Page 66 and 67: What if... Patient begins to move
- Page 68 and 69: Summary • TVT and TOT are minimal
- Page 70: Cochrane Review • Ogah et. al. Mi
<strong>Compli<strong>ca</strong>tions</strong> <strong>of</strong> <strong>TVT</strong> – Canada<br />
(Corcos J et.al. BJU July 2004)<br />
• 241 patients<br />
• 6 hospital (2 university and 4 community)<br />
• 5.8% intraoperative bladder perforation<br />
• 2.5% blood loss >500mL<br />
• 19.7% urinary retention<br />
• 1.9% pelvic hematoma<br />
• 0.4% suprapubic wound infection<br />
• 4.1% long term voiding dysfunction requiring surgi<strong>ca</strong>l<br />
release<br />
• 15% de novo urgency<br />
• 7.5% persistent suprapubic discomfort<br />
• 0.4% intravaginal tape erosion
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