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Re: R: TVT ComplicationsFrom: Akhan Suleyman (akhan93@hotmail.com)Sun Apr 15 23:35:17 2001
Dear Dr. Colombo, The first patient was the second patient in our serie and we made the injury with the TVT applicator after vaginal mucosa dissection. It was an blunder injury and not important but I must describe the second patient (The 4 th patient of our serie). I think that was a wrong choice for a learning curve: operated patient two times for stress incont. İt was not a "really" uretral injury but vesico-uretral injury. After an consultation we use uretral and pubic catheter, both of them. That's right way for a complication like this(???), I don't now but she was very confortable after 10 days. This operation look very easy but if you don't respect some important point you can make every complication you can't imagine like all of the other surgical operation (remember the vascular injury with TVT applicator). I think guidance of the pubic os is one of this point for don't make bladder injury, the other use a cystoscop 70 degree for a good vision and the last point is to use the local anesthesia. Süleyman Akhan M.D.
>From: "Mario Colombo, MD" <emmecol@tin.it>
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