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Re: TVT Complications From: Akhan Suleyman (akhan93@hotmail.com) Fri Apr 13 16:09:03 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry Siegel: "Re: Abnormal implantation location--the answer and more!" Previous message: Akhan Suleyman: "Re: LGSIL" Maybe in reply to: ENDODOK@aol.com: "TVT Complications" Next in thread: Dr Bruce Farnsworth: "Re: TVT Complications" The same question: Why you don't use intraoperative cough test and local anesthesia. I think this is the most important point of this operation. We have a little experimentation. We operated 42 patients and our bladder injury rate is 8%, urethral injury rate is 4%. I read some wound complication on the vaginal mucosal surface after operation in a french series and some vascular injury in the english literature. We haven't any case of serious over correction. Süleyman Engin Akhan M.D. >From: ENDODOK@aol.com >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> >Subject: TVT Complications >Date: Thu, 12 Apr 2001 21:25:46 -0500 >MIME-Version: 1.0 >Received: from [216.141.7.9] by hotmail.com (3.2) with ESMTP id >MHotMailBC9FAEC00069400431DCD88D07090F160; Thu Apr 12 19:26:11 2001 >Received: from forum (IDENT:server@localhost [127.0.0.1])by >mail.medispecialty.com (8.9.3/8.9.3) with SMTP id VAA12014;Thu, 12 Apr 2001 >21:25:46 -0500 >From ob-gyn-l@obgyn.net Thu Apr 12 19:26:47 2001 >Message-Id: <39.135a8e96.2807bd73@aol.com> >Errors-To: ob-gyn-l-request@obgyn.net >Originator: ob-gyn-l >Sender: ob-gyn-l@obgyn.net >Precedence: bulk >X-Listprocessor-Version: 6.0d -- ListProcessor by Anastasios Kotsikonas >X-Comment: Obstetrics & Gynecology for MEDICAL PROFESSIONALS ONLY > > One of my partners attended a urogynecology meeting in Scottsdale >sponsored by the local branch of the Mayo Clinic. TVT pubo-urethral >suspensions came up for discussion. It was the opinion of many of the >attending urologists that the TVT procedure carried a significant risk of >urethral injury because of the >polypropylene tape that may cause erosion through the urethra. A case was >sited in which transurethral erosion actually occured with a very >problematic >outcome. I was not aware of this complication prior to this information. I >try to provide minimal to no urethral compression by using a #8 Hegar >dilator >as a spacer ( with good counter-traction when the tape is freed from the >plastic sheaths) between the urethra and the tape. Today saw a patient one >month post-op with a post-void residual of 250cc, despite a residual on >p.o. >day one of only 50 cc. Also complains of persistent "dribbling" >incontinence. >(overflow??) >Would appreciate comments and suggestions. > >J.Glenn Bradley MD Next message: Garry Siegel: "Re: Abnormal implantation location--the answer and more!" Previous message: Akhan Suleyman: "Re: LGSIL" Maybe in reply to: ENDODOK@aol.com: "TVT Complications" Next in thread: Dr Bruce Farnsworth: "Re: TVT Complications"

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