Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
10.4068/cmj.2011.47.3.165
- Author:
Moon Kyoung CHO
1
;
Chul Hong KIM
;
Woo Dae KANG
;
Jong Woon KIM
;
Seok Mo KIM
;
Yoon Ha KIM
Author Information
1. Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea. hongkim@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Complications;
Urinary stress incontinence;
Gynecologic surgical procedures
- MeSH:
Female;
Gynecologic Surgical Procedures;
Hematoma;
Humans;
Incidence;
Intraoperative Complications;
Postoperative Complications;
Retrospective Studies;
Suburethral Slings;
Urinary Bladder;
Urinary Incontinence;
Urinary Incontinence, Stress;
Urinary Retention;
Urinary Tract Infections;
Vulva
- From:Chonnam Medical Journal
2011;47(3):165-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was undertaken to compare the complications of outside-in transobturator tape procedures (TOT) and inside-out transobturator tape procedures (TVT-O) with concomitant gynecologic surgery for the treatment of female stress urinary incontinence (SUI). A retrospective review of 206 consecutive patients who underwent either TOT or TVT-O with concomitant gynecologic operations between March 2008 and February 2011 was conducted. The incidence of perioperative complications was compared. For statistical analysis, chi-squared tests were used. There were no reports of intraoperative complications such as vaginal injury or bladder perforation. Postoperative complications were noted in 23 procedures (11.2%). These included 6 cases of urinary retention (2.9%), 2 cases of vulva hematoma (1.0%), 7 cases of urinary tract infection (3.4%), 4 cases of de novo urgency (2.9%), and 4 cases of vaginal erosion (2.9%). There were no significant differences in complication rates between the two groups. Our results suggest that inside-out and outside-in procedures are simple and safe techniques that may have a low rate of complications when used with a concomitant gynecologic operation.
