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Complications of Female Incontinence and Pelvic Reconstructive Surgery pp 9–24Cite as

General Complications of Pelvic Reconstructive Surgery

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Part of the book series: Current Clinical Urology ((CCU))

Abstract

Before a patient undergoes pelvic reconstructive surgery, the risk of potential complications should be carefully assessed and addressed with the patient. Complications may occur during or after the procedure and it is imperative to recognize high-risk patients and minimize risk from surgery before a patient is brought to the operating room. The lifetime risk of a woman undergoing prolapse or incontinence surgery by the age of 80 is 11.1% [1]. The prevalence of perioperative complications among women undergoing reconstructive pelvic surgery has been reported to be as high as 33% [2]. There are a multitude of factors which are found to increase perioperative risk. A large retrospective cohort study including 1,931 women who had undergone prolapse surgery found an overall complication rate of 14.9% [3]. The complications identified included infection, bleeding, surgical injuries, pulmonary, and cardiovascular morbidity. These complications were associated with medical comorbidities (odds ratio 11.2) and concomitant hysterectomy (odds ratio 1.5). Risk factors for complications after pelvic reconstructive surgery are listed in Table 2.1.

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References

  1. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–6.

    Article  PubMed  CAS  Google Scholar 

  2. Lambrou NC, Buller JL, Thompson JR, Cundiff GW, Chou B, Montz FJ. Prevalence of perioperative complications among women undergoing reconstructive pelvic surgery. Am J Obstet Gynecol. 2000;183:1355–60.

    Article  PubMed  CAS  Google Scholar 

  3. Handa VL, Harvey L, Cundiff GW, Kjerulff KH. Perioperative complications of surgery for genital prolapse: does concomitant anti-incontinence surgery increase complications? Adult Urol. 2004;65:483–7.

    Google Scholar 

  4. National Task Force on the Prevention and Treatment of Obesity. Overweight, obesity, and health risk. Arch Intern Med. 2000;160:898–904.

    Google Scholar 

  5. Must A, Spandano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA. 1999;282:1523–9.

    Article  PubMed  CAS  Google Scholar 

  6. Rogers RG, Lebkuchner U, Kammerer-Doak DN, Thompson PK, Walters MD, Nygaard IE. Obesity and retropubic surgery for stress incontinence: is there really an increased risk of intraoperative complications? Am J Obstet Gynecol. 2006;195:1794–8.

    Article  PubMed  CAS  Google Scholar 

  7. Chen CCG, Collins SA, Rodgers AK, Paraiso MFR, Walters MD, Barber MD. Perioperative complications in obese women vs normal-weight women who undergo vaginal surgery. Am J Obstet Gynecol. 2007;197:98.e1–8.

    Google Scholar 

  8. Pitkin RM. Vaginal hysterectomy in obese women. Obstet Gynecol. 1977;49:567–9.

    PubMed  CAS  Google Scholar 

  9. Isik-Akbay EF, Harmanli OH, Panganamamula UR, Akbay M, Gaughan J, Chatwani AJ. Hysterectomy in obese women: a comparison of abdominal and vaginal routes. Obstet Gynecol. 2004;104:710–4.

    Article  PubMed  Google Scholar 

  10. Luber KM, Boero S, Choe JY. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol. 2001;184:1496–503.

    Article  PubMed  CAS  Google Scholar 

  11. Toglia MR, Nolan TE. Morbidity and mortality rates of elective gynecologic surgery in the elderly woman. Am J Obstet Gynecol. 2003;189:1584–9.

    Article  PubMed  Google Scholar 

  12. Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL. Effect of patient age on increasing ­morbidity and mortality following urogynecologic surgery. Am J Obstet Gynecol. 2006;194:1411–7.

    Article  PubMed  Google Scholar 

  13. Kawalpreet M, Bacchetti P, Leung JM. Prognostic significance of postoperative in-hospital complications in elderly patients. I. Long term survival. Anesth Analg. 2003;96:583–9.

    Google Scholar 

  14. Stepp KJ, Barber MD, Yoo EH, Whiteside JL, Paraiso MFR, Walters MD. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol. 2005;192:1630–6.

    Article  PubMed  Google Scholar 

  15. Heisler CA, Aletti GD, Weaver AL, Melton LJ, Cliby WA, Gebhart JB. Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy. Am J Obstet Gynecol. 2010;202:137.e1–5.

    Google Scholar 

  16. Schakelford DP, Hoffman MK, Kramer PR, Davies MF, Kaminiski PF. Evaluation of peroperative cardiac risk index values in patients undergoing vaginal surgery. Am J Obstet Gynecol. 1995;173:80–4.

    Article  Google Scholar 

  17. Potyk D, Raudaskoski P. Peroperative cardiac evaluation for elective non cardiac surgery. Arch Fam Med. 1998;7:164–73.

    Article  PubMed  CAS  Google Scholar 

  18. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100:1043–9.

    Article  PubMed  CAS  Google Scholar 

  19. Shammash JB, Trost JC, Gold JM, Berlin JA, Golden MA, Kimmel SE. Perioperative beta-blocker withdrawal and mortality in vascular surgical patients. Am Heart J. 2001;141:148–53.

    Article  PubMed  CAS  Google Scholar 

  20. Colwell CW, Collis DK, Paulson R, McCutchen JW, Bigler GT, Lutz S, et al. Comparison of enoxaparin and warfarin for the prevention of venous thromboembolic disease after total hip arthroplasty. J Bone Joint Surg Am. 1999;81:932–9.

    Article  PubMed  Google Scholar 

  21. Sweetland S, Green J, Liu B, et al. Duration and magnitude of the postoperative risk of venous thromboembolism in middle aged women: prospective cohort study. BMJ. 2009;339:1–8.

    Article  Google Scholar 

  22. Solomon ER, Frick AC, Paraiso MFR, Barber MD. Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients. Am J Obstet Gynecol. 2010;203:510.e1–4.

    Google Scholar 

  23. Anger JT, Weingberg AE, Gore JL, Wang Q, Pashos MJ, Leonardi LV, et al. Thromboembolic complications of sling surgery for stress urinary incontinence among female Medicare beneficiaries. Urology. 2009;74: 1223–6.

    Article  PubMed  Google Scholar 

  24. Nick AM, Schmeler KM, Frumovitz MM, Soliman PT, Spannuth WA, Burzawa JK, et al. Risk of thromboembolic disease in patients undergoing laparoscopic gynecologic surgery. Obstet Gynecol. 2010;116(4):956–61.

    Article  PubMed  Google Scholar 

  25. Suzuki N, Yoshioka N, et al. Risk factors for perioperative venous thromboembolism: a retrospective study in Japanese women with gynecologic diseases. Thromb J. 2010;8:1–9.

    Article  Google Scholar 

  26. Lindqvist PG, Epstein E, Olsson H. The relationship between lifestyle factors and venous thromboembolism among women: a report from the MISS study. Br J Haematol. 2008;114:234–40.

    Google Scholar 

  27. Clarke-Pearson DL, Dodge RK, Synan I, McClelland RC, Maxwell GL. Venous thromboembolism prophylaxis: patients at high risk to fail intermittent pneumatic compression. Obstet Gynecol. 2003;101(1):157–63.

    Article  PubMed  Google Scholar 

  28. ACOG Committee on Practice Bulletins No. 84: prevention of deep vein thrombosis and pulmonary embolism. 2007;84(2 Pt 1):429–40.

    Google Scholar 

  29. Okadome M, Saito T, et al. Postoperative pulmonary embolism including asymptomatic cases in gynecologic oncology. Int J Gynecol Cancer. 2010;20:655–63.

    Article  PubMed  Google Scholar 

  30. Stein PD, Beemath A, Matta F, et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007;120:871–9.

    Article  PubMed  Google Scholar 

  31. Cate-Hoek AJT, Prins MH. Management studies using a combination of D-dimer test results and clinical probability to rule out venous thromboembolism: a systematic review. J Thromb Haemost. 2005;3:2465–70.

    Article  PubMed  Google Scholar 

  32. Agnelli G, Becattini C. Acute pulmonary embolism. N Engl J Med. 2010;363:266–74.

    Article  PubMed  CAS  Google Scholar 

  33. Qaseem A, Snow V, et al. Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians. Ann Intern Med. 2007;146:454–8.

    PubMed  Google Scholar 

  34. Moores LK, King CS, Holley AB. Current approach to the diagnosis of acute nonmassive pulmonary embolism. Chest. 2011;140:509–18.

    Article  PubMed  Google Scholar 

  35. Krivak TC, Zorn KK. Venous thromboembolism in obstetrics and gynecology. Obstet Gynecol. 2007;109:761–77.

    Article  PubMed  Google Scholar 

  36. Desciak MC, Martin DE. Perioperative pulmonary embolism: diagnosis and anesthetic management. J Clin Anesth. 2011;23:153–65.

    Article  PubMed  Google Scholar 

  37. Ansell J, Hirsch J, Hylek E, Jacobson A, Crowther M, Gualtiero P. Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th edition). Chest. 2008;133:160S–98.

    Article  PubMed  CAS  Google Scholar 

  38. Lawrence VA, Hilsenbeck SG, Mulrow CD, Dhanda R, Sapp J, Page CP. Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. J Gen Intern Med. 1995;10:671–8.

    Article  PubMed  CAS  Google Scholar 

  39. Pappachen S, Smith PR, Shah S, Brito V, Bader F, Koury B. Postoperative pulmonary complications after gynecologic surgery. Int J Obstet Gynecol. 2006;93:74–6.

    Article  CAS  Google Scholar 

  40. McAlister FA, Bertsch K, Man J, Bradley J, Jacka M. Incidence of and risk factors for pulmonary complications after nonthoracic surgery. Am J Respir Crit Care Med. 2005;171:514–7.

    Article  PubMed  Google Scholar 

  41. Murdock CM, Wolff AJ, Van Geem T. Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax and pneumomediastinum during laparoscopy. Obstet Gynecol. 2000;95:704–9.

    Article  PubMed  CAS  Google Scholar 

  42. Brooks-Brunn JA. Predictors of postoperative pulmonary complications following abdominal surgery. Chest. 1997;111:564–71.

    Article  PubMed  CAS  Google Scholar 

  43. Xue FS, Li BW, Zhang GS, Liao X, Zhang YM, Liu JH, et al. The influence of surgical sites on early postoperative hypoxemia in adults undergoing ­elective surgery. Anesth Analg. 1999;88:213–9.

    PubMed  CAS  Google Scholar 

  44. Turan A, Mascha EJ, Roberman D, Turner PL, You J, Kurz A, et al. Smoking and perioperative outcomes. Anesthesiology. 2011;114(4):837–46.

    Article  PubMed  Google Scholar 

  45. Warner MA, Divertie MB, Tinker JH. Preoperative cessation of smoking and pulmonary complications in coronary artery bypass patients. Anesthesiology. 1984;60(4):380–3.

    Article  PubMed  CAS  Google Scholar 

  46. Doyle RL. Assessing and modifying the risk of postoperative pulmonary complications. Chest. 1999;115: 77S–81.

    Article  PubMed  CAS  Google Scholar 

  47. Ephgrave KS, Kleiman-Wexler R, Pfaller M, Booth B, Werkmeister L, Young S. Postoperative pneumonia: a prospective study of risk factors and morbidity. Surgery. 1993;114:815–21.

    PubMed  CAS  Google Scholar 

  48. Adesanya AO, Lee W, Greilich NB, Joshi GP. Perioperative management of obstructive sleep apnea. Chest. 2010;138:1489–98.

    Article  PubMed  Google Scholar 

  49. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea. A population health perspective. Am J Respir Crit Care Med. 2002;165:1217–39.

    Article  PubMed  Google Scholar 

  50. Hwang D, Shakir N, Limann B, Sison C, Kaira S, Shulman L, et al. Association of sleep-disordered breathing with postoperative complications. Chest. 2008;133:1128–34.

    Article  PubMed  Google Scholar 

  51. Memtsoudis S, Liu SS, Ma Y, Chiu YL, Walz JM, Gaber-Baylis BA, et al. Perioperative pulmonary outcomes in patients with sleep apnea after noncardiac surgery. Anesth Analg. 2011;112:113–21.

    Article  PubMed  Google Scholar 

  52. Bolden N, Smith CE, Auckley D. Avoiding adverse outcomes in patients with obstructive sleep apnea (OSA): development and implementation of a perioperative OSA protocol. J Clin Anesth. 2009;21:286–93.

    Article  PubMed  Google Scholar 

  53. Johnson MM, Conde MV. Overview of the management of postoperative pulmonary complications. In: Maneker S, editor. Waltham, MA, UpToDate; 2011.

    Google Scholar 

  54. Bolden N, Smith CE, Auckley D, Maraski J, Ramachangdra A. Perioperative complications during use of an obstructive sleep apnea protocol following surgery and anesthesia. Int Anesth Res Soc. 2007;105:1869–70.

    Google Scholar 

  55. Wahba RM. Airway closure and intraoperative hypoxaemia: twenty-five years later. Can J Anaesth. 1996;43:1144–9.

    Article  PubMed  CAS  Google Scholar 

  56. Barrett CR. Flexible fiberoptic bronchoscopy in the critically ill patient, methodology and indications. Chest. 1978;73:746–9.

    PubMed  Google Scholar 

  57. Squadrone V, Coha M, Cerutti E, et al. Continuous positive airway pressure for treatment of postoperative hypoxemia. JAMA. 2005;293:589–95.

    Article  PubMed  CAS  Google Scholar 

  58. American Thoracic Society and the Infectious Diseases Society America. Guidelines for the management of adults with hospital-acquired, ventilator- associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171(4):388–416.

    Article  Google Scholar 

  59. Montavers P, Veber B, Auboyer C, Dupont H, Gauzit R, Korinek AM, et al. Diagnostic and therapeutic ­management of nosocomial pneumonia in surgical patients: results of the Eole study. Crit Care Med. 2002;30:368–75.

    Article  Google Scholar 

  60. Lo E, Nocolle L, Classen D, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008;29:S41–50.

    Article  PubMed  Google Scholar 

  61. Nygaard IE, Kreder KJ. Complications of incontinence surgery. Int Urogynecol J. 1994;5:353–60.

    Article  Google Scholar 

  62. Karram MM, Kleeman SD. Lower urinary tract infection. In: Walters M, Karram MM, editors. Urogynecology and reconstructive pelvic surgery. 3rd ed. Philadelphia: Mosby Elsevier; 2007. p. 413–24.

    Chapter  Google Scholar 

  63. Albo ME, Richter HE, Brubaker L, Norton P, Kraus S, Zimmern PE, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007;356:2143–55.

    Article  PubMed  CAS  Google Scholar 

  64. Sutkin G, Alperin M, Meyn L, Wiesenfeld HC, Ellison R, Zyczynski HM. Symptomatic urinary tract infections after surgery for prolapse and/or incontinence. Int Urogynecol J. 2010;21:955–61.

    Article  PubMed  Google Scholar 

  65. Little P, Moore MV, Turner S, Rumsby K, Warner G, Lowes JA, et al. Effectiveness of five different approaches in management of urinary tract infection: radomised controlled trial. BMJ. 2010;340:c199.

    Article  PubMed  CAS  Google Scholar 

  66. Komoroff AL. Urinalysis and urine culture in women with dysuria. Ann Intern Med. 1986;104:212–8.

    Google Scholar 

  67. Schiotz HA. Urinary tract infections and bacteriuria after gynecological surgery: experience with 24-hour Foley catheterization. Int Urogynecol J. 1994;5:345–8.

    Article  Google Scholar 

  68. Hooten TM, Stamm WE. Diagnosis and treatment of uncomplicated urinary tract infection. Infect Dis Clin North Am. 1997;11:551–81.

    Article  Google Scholar 

  69. Mckinnell JA, Stollenwerk NS, Jung CW, Miller LG. Nitrofurantoin compares favorably to recommended agents as empirical treatment of uncomplicated urinary tract infections in a decision and cost analysis. Mayo Clin Proc. 2011;86(6):480–8.

    Article  PubMed  Google Scholar 

  70. Rogers RG, Kammerer-Doak D, Olsen A, Thompson PK, Walters MD, Lukacz ES, et al. A randomized, double-blind, placebo-controlled comparison of the effect of nitrofurantoin monohydrate macrocrystals on the development of urinary tract infections after surgery for pelvic organ prolapse and/or stress urinary incontinence with suprapubic catheterization. Am J Obstet Gynecol. 2004;191:182–7.

    Article  PubMed  CAS  Google Scholar 

  71. Wolf JS Jr, Bennett CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, Schaeffer AJ. Urologic surgery antimicrobial prophylaxis best practice policy panel. J Urol. 2008;179(4):1379–90. Erratum in J Urol. 2008;180(5):2262–3.

    Google Scholar 

  72. Ingber MS, Vasavada SP, Firoozi F, Goldman HB. Incidence of perioperative urinary tract infection after single-dose antibiotic therapy for midurethral slings. Urology. 2010;76:830–4.

    Article  PubMed  Google Scholar 

  73. Bhatia NN, Karram MM, Bergman A. Role of antibiotic prophylaxis in retropubic surgery for stress urinary incontinence. Obstet Gynecol. 1989;74:637–9.

    PubMed  CAS  Google Scholar 

  74. ACOG Committee on Practice Bulletins No. 104: antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol. 2009;113(5):1180–9.

    Google Scholar 

  75. Walsh C, Scaife C, Hopf H. Prevention and management of surgical site infections in morbidly obese women. Obstet Gynecol. 2009;113:411–5.

    PubMed  Google Scholar 

  76. Boesch CE, Umek W. Effects of wound closure on wound healing in gynecologic surgery. J Reprod Med. 2009;54:139–44.

    PubMed  Google Scholar 

  77. Brummer THI, Jalkanen J, Fraser J, Heikkinine AM, Kauko M, Makinin J, et al. Prevention and management of surgical site infections in morbidly obese women. Hum Reprod. 2011;26:1741–51.

    Article  PubMed  Google Scholar 

  78. Lee JS, Terjimanian MD, Tishberg LM, Alawieh AZ, Harbaugh CM, Sheetz KH, et al. Surgical site infection and analytic morphometric assessment of body composition in patients undergoing midline laparotomy. J Am Coll Surg. 2011;213:237–44.

    Google Scholar 

  79. Mattox TF, Sanford EJ, Varner E. Infected abdominal sacrocolpopexies: diagnosis and treatment. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15:319–23.

    PubMed  Google Scholar 

  80. Baessler K, Hewson AD, Tunn R, Schuessler B, Maher CF. Severe mesh complications following intravaginal slingplasty. Obstet Gynecol. 2005;106: 713–6.

    Article  PubMed  Google Scholar 

  81. Hiltunen R, Nieminen K, Takula T, Heiskanen E, Merikari M, Niemi KI, et al. Low-weight polypropylene mesh for anterior vaginal wall prolapse. Obstet Gynecol. 2007;110:455–62.

    Article  PubMed  Google Scholar 

  82. Vakili B, Huynh T, Loesch H, Franco N, Chesson RR. Outcomes of vaginal reconstructive surgery with and without graft material. Am J Obstet Gynecol. 2005;193:2126–32.

    Article  PubMed  Google Scholar 

  83. Lazenby GB, Soper DE. Prevention, diagnosis, and treatment of gynecologic surgical site infections. Obstet Gynecol Clin North Am. 2010;37:379–86.

    Article  PubMed  Google Scholar 

  84. Moir C, Robins ER. Role of ultrasonography, gallium scanning, and computed tomography in the diagnosis of intraabdominal abscess. Am J Surg. 1982;143: 582–5.

    Article  PubMed  CAS  Google Scholar 

  85. Walters MD, Barber MD. Complications of hysterectomy. In: Karram M, editor. Hysterectomy for benign disease. Philadelphia, PA: Saunders Elsevier; 2010. p. 195–212.

    Chapter  Google Scholar 

  86. Levenson RB, Pearson KM, Saokar A, Lee SI, Mueller PR, Hahn PF. Image-guided drainage of tuboovarian abscesses of gastrointestinal or genitourinary origin: a retrospective analysis. J Vasc Interv Radiol. 2011;22(5):678–86.

    Article  PubMed  Google Scholar 

  87. Kjolhede P, Shefquet H, Lofgren M. Vaginal cleansing and postoperative infectious morbidity in vaginal hysterectomy. A register study from the Swedish National Register for Gynecological Surgery. Acta Obstet Gynecol Scand. 2011;90:63–71.

    Article  PubMed  Google Scholar 

  88. Kjolhede P, Shefqet H, Lofgren M. The influence of preoperative vaginal cleansing on postoperative infectious morbidity in abdominal total hysterectomy for benign indications. Acta Obstet Gynecol. 2009;88:408–16.

    Article  Google Scholar 

  89. Bohrer JC, Walters M, Park A, Polston D, Barber MD. Pelvic nerve injury following gynecologic surgery: a prospective cohort study. Am J Obstet Gynecol. 2009;201:531.e1–7.

    Google Scholar 

  90. Romanowski L, Reich H, McGlynn F, Adelson MD, Taylor PJ. Brachial plexus neuropathies after advances laparoscopic surgery. Fertil Steril. 1993;60:729–32.

    PubMed  CAS  Google Scholar 

  91. Warner MA, Warner DO, Harper CM, Schroeder DR, Maxon PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology. 2000;93: 938–42.

    Article  PubMed  CAS  Google Scholar 

  92. Britt BA, Gordon RA. Peripheral nerve injuries associated with anesthesia. Can Anaesth Soc J. 1964;11:514–36.

    Article  PubMed  CAS  Google Scholar 

  93. Shveiky D, Aseff JN, Iglesia CB. Brachial plexus injury after laparoscopic and robotic surgery. J Minim Invasive Gynecol. 2010;17:414–20.

    Article  PubMed  Google Scholar 

  94. Parks BJ. Postoperative peripheral neuropathies. Surgery. 1973;74:348–57.

    PubMed  CAS  Google Scholar 

  95. Barnett JC, Hurd WW, Rogers RM, Williams NL, Shapiro SA. Laparoscopic positioning and nerve injuries. J Minim Invasive Gynecol. 2007;14:664–72.

    Article  PubMed  Google Scholar 

  96. Solomon. Venous thromboembolism in urogynecologic patients. Am J Obstet Gynecol.; 2010.

    Google Scholar 

  97. Geerts WH, Bergqvist D, Pineo GF. Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines, (8th edition). Chest. 2008;133:381s–453.

    Google Scholar 

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  1. Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland Clinic Main Campus, Mail Code A81, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Ellen R. Solomon MD & Matthew D. Barber MD, MHS

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Correspondence to Matthew D. Barber MD, MHS .

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  1. Glickman Urological and Kidney Institute, The Cleveland Clinic, Center for Female Pelvic Medicine and Re, 9500 Euclid Ave., Cleveland, 44195, Ohio, USA

    Howard B. Goldman

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Solomon, E.R., Barber, M.D. (2013). General Complications of Pelvic Reconstructive Surgery. In: Goldman, H. (eds) Complications of Female Incontinence and Pelvic Reconstructive Surgery. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-924-2_2

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