Funda GÜNGÖR UĞURLUCAN, Emircan ERTÜRK, Cenk YAŞA

MİDÜRETRAL SLİNG CERRAHİSİ KOMPLİKASYONLARI

Midüretral sling cerrahileri, günümüzde stres üriner inkontinansın cerrahi tedavisinde en sık uygulanan yöntemlerdir. Midüretral sling cerrahileri minimal invaziftir; başarı oranları yüksek ve komplikasyonları nadirdir. Ancak; komplikasyonları diğer stress üriner inkontinans cerrahilerinden farklıdır. Komplikasyonlar; peroperatif, erken dönem ve geç dönem komplikasyonlar olarak üçe ayrılabilir. Bu derlemede komplikasyonlar ve önleme yolları ve çözüm önerilerine değinilecektir.

Anahtar Kelimeler:

Midüretral sling cerrahisi, üriner inkontinan, stres üriner inkontinans, meş

COMPLICATIONS OF MIDURETHRAL SLING OPERATIONS

Midurethral sling operations are the most commonly performed surgeries in the treatment of stress urinary incontinence. Midurethral sling surgeries are minimally invasive with high success rate and rare complications. However; the type of complications encountered are different than other incontinence surgeries. The complications may be classified as intraoperative, early, and late complications. In this review, the complications encountered, preventive measures and management will be discussed.

Keywords:

Midurethral sling surgery, urinary incontinence, stress urinary incontinence, mesh,

PDF

___

1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An international Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2009;29:4-20.
2. Kelleher C. Epidemiology and classification of urinary incontinence. In: Urogynecology Cordozo L (ed.) Churchill Livingstone, Newyork. 1997;3-26.
3. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation subcommittee of the International Continence Society. Urology 2003;61:37-49.
4. Petros PE and Ulmsten UI. An integral theory of female urinary incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand 1997;166:3-8.
5. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996;7:81-6.
6. Delorme E. Transobturator urethral suspension: mini- invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;6:1306-13.
7. Ford AA, Rogerson L, Cody JD, Ogah J. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2015;(7):CD006375.
8. Abdel-Fattah M, Ford JA, Lim CP, Madhuvrata P. Singleincision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications. Eur Urol 2011;60:468-80.
9. Schimpf MO, Rahn DD, Wheeler TL, Patel M, White AB, Orejuela FJ, et al. Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis. Am J Obstet Gynecol 2014;211:71.e1-27.
10. Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW, Deprest J, Dwyer PL, Fatton B, Kocjancic E, Lee J, Maher C, Petri E, Rizk DE, Sand PK, Schaer GN, Webb RJ. An International Urogynecological Association (IUGA)/ International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Int Urogynecol J 2011;22:3-15.
11. CommitteeOpinionNo:694: Management of Mesh and Graft Complications in Gynecologic Surgery. Obstet Gynecol 2017;129(4):e102-8.
12. Chapple CR, Cruz F, Deffieux X, Milani AL, Arlandis S, Artibani W, Bauer RM, Burkhard F, Cardozo L, Castro-Diaz D, Cornu JN, Deprest J, Gunnemann A, Gyhagen M, Heesakkers J, Koelbl H, MacNeil S, Naumann G, Roovers JWR, Salvatore S, Sievert KD, Tarcan T, Van der Aa F, Montorsi F, Wirth M, Abdel-Fattah M. Consensus Statement of the European Urology Association and the European Urogynaecological Association on the Use of Implanted Materials for Treating Pelvic Organ Prolapse and Stress Urinary Incontinence. Eur Urol 2017;72(3):424-31.
13. Kuuva N, Nilsson CG. A nationwide analysis of complications associated with the tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 2002;81:72-7.
14. Hilton P, Rose K. The “learning curve” for retropubic midurethral sling procedures: A retrospective cohort study. Int Urogynecol J 2016;27:565-70.
15. Minaglia S, Ozel B, Klutke C, et al. Bladder injury during transobturator sling. Urology 2004;64:3761-2.
16. Dargent D, Bretones S, George P, et al. Insertion of a sub-urethral sling through the obturating membrane for treatment of female urinary incontinence. Gynecol Obstet Fertil 2002;30:576-82.
17. Zahn C M, Siddique S, Hernandez S, et al. Anatomic comparison of two transobturator tape procedures. Obstet & Gynecol 2007;109:701-6.
18. Violette PD, Cartwright R, Briel M, Tikkinen KA, Guyatt GH. Guideline of guidelines: thromboprophylaxis for urological surgery. BJU Int 2016;118(3):351-8.
19. Barr SA, Thomas A, Potter S, et al. Incidence of successful voiding and predictors of early voiding dysfunction after retropubic sling. Int Urogynecol J 2016;27:1209-14.
20. Byck DB, Varner RE, Clough C. Urinary complaints after modified Burch uretropexy: An analysis. Am J Obstet Gynecol 1994;171:1460-2.
21. Levin I, Groutz A, Gold R, Pauzner D, Lessing JB, Gordon D. Surgical complications and medium-term outcome results of tension-free vaginal tape: a prospective study of 313 consecutive patients. Neurourol Urodyn 2004;23:7-9.
22. Elliott CS, Comiter CV. Evaluation and management of urinary retention and voiding dysfunction after sling surgery for female stress urinary incontinence. Curr Bladder Dysfunct Rep 2012;7:268-74.
23. Debodinance P, Delporte P, Engrand JB, Boulogne M. Tension free vaginal tape (TVT) in the treatment of urinary stress incontinence: 3 year experience involving 256 operations. Eur J Obstet Gynecol Reprod Biol 2002;105:4958.
24. Pham KN, Topp N, Guralnick ML, et al. Preoperative Valsalva voiding increases the risk of urinary retention after midurethral sling placement. Int Urogynecol J 2010;21:12436.
25. Norton PA, Nager CW, Chai TC, et al. Risk factors for incomplete bladder emptying after midurethral sling. Urology 2013;82:1038-41.
26. Costa P, Grise P, Droupy S, et al. Surgical treatment of female stress urinary incontinence with a transobturator tape (TOT; Uratape®): short-term results of a prospective multicentric study. Eur Urol 2004;46:102-7.
27. Deval, B., Haab, F. Management of the complications of the synthetic slings. Current opinion in urology 2006;16:240-3.
28. Leanza V, Garozzo V, Accardi M, Molino A, Conca M, Basile A. A late complication of transobturator tape: abscess and myositis,Minerva Ginecol 2008;60(1):91-4.
29. Mahajan ST, Kenton K, Bova DA, et al. Transobturator tape erosion associated with leg pain. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:66-8.
30. Madjar S, Frischer Z, Nieder A. M, Waltzer WC. Bladder wall abcess following midürethral sling procedure. Int Urogynecol J 2006;17:180-1.
31. Petri E, Niemeyer R, Martan A. Reasons for and treatment of surgical complications with alloplastic slings. Int Urogynecol J 2005;17:3-13.
32. Ulrich D, Tammaa A, Holbfer S, et al. Ten-year followup after tension-free vaginal tape-obturator procedure for stress urinary incontinence. J Urol 2016;196:1201-6.
33. Spinosa JP, Dubuis PY. Suburethral sling inserted by the transobturator route in the treatment of female stress urinary incontinence: preliminary results in 117 cases. Eur J Obstet Gynecol Reprod 2005;123:212-7.
34. Holmgren C, Nilsson S, Lanner L, Hellberg D. Long-Term Results With Tension-Free Vaginal Tape on Mixed and Stress Urinary Incontinence. Obstet Gynecol 2005;106:3843.
35. Falconer C, Soderberg M, Blomgren B, Ulmsten U. Influence of different sling materials on connective tissue metabolismin stress urinary incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 2001;12:19-23.
36. Lucas MG, Bosch RJ, Burkhard FC, et al. EAU guidelines on surgical treatment of urinary incontinence. Eur Urol 2012; 62(6):1118-29.