Israfil-Bayli F, Bulchandani S, Parsons M, Jackson S, Toozs-Hobson P. Bladder perforation during sling procedures: diagnosis and management of injury.
Int Urogynecol J 2013;
25:691-2. [PMID:
24356895 DOI:
10.1007/s00192-013-2291-8]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2013] [Accepted: 11/26/2013] [Indexed: 11/26/2022]
Abstract
INTRODUCTION AND HYPOTHESIS
Midurethral slings are an effective and minimally invasive treatment for stress urinary incontinence. One of the most common intraoperative complications is bladder perforation, complicating between 2 and 10% of all operations, and on average 4.7%. It is usually corrected during surgery, with repositioning of the trocars. The purpose of this video is to demonstrate a method of replacing the trocars under direct vision.
METHODS
This video exhibits a bladder perforation during insertion of a retropubic midurethral sling (Advantage Fit; Boston Scientific) and gives a step-by step guide to the removal and repositioning of the sling under direct visualisation.
CONCLUSION
Repositioning of the trocars under direct vision in cases of bladder perforation may have numerous advantages. It may prevent damage to the urethra, possibly reduce the risk of postoperative infection and may be beneficial for trainees.
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