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Autologous Fascial Slings

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Complications of Female Incontinence and Pelvic Reconstructive Surgery

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

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Abstract

The autologous pubovaginal continues to represent an efficacious anti-incontinence procedure to address both complex and uncomplicated stress urinary incontinence. Adverse events from this surgical procedure have been well described over the past nearly four decades and severe complications are rare. The scope of this chapter was to describe the complications from autologous pubovaginal and their management. These adverse events are the result of inadvertent injury to adjacent pelvic structures which are ideally addressed and repaired during surgery when recognized. Clinically significant unrecognized complications usually present within the first postoperative day when there is a vascular or nerve injury or can take up to a week to unveil when associated with a bowel injury or wound complication. Immediate postoperative lower urinary symptoms are very common during the first days or weeks after surgery, and these usually resolve with time. However, evaluation and management of persistent or delayed presentation of urinary symptoms is recommended to address urinary obstruction, if present.

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Authors and Affiliations

  1. Division of Neurourology and Pelvic Reconstructive Surgery, Department of Urology, University of Michigan, Ann Arbor, MI, USA

    Paholo G. Barboglio Romo M.D., M.P.H. & J. Quentin Clemens M.D., F.A.C.S., M.S.C.I.

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  1. Paholo G. Barboglio Romo M.D., M.P.H.
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  2. J. Quentin Clemens M.D., F.A.C.S., M.S.C.I.
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Correspondence to Paholo G. Barboglio Romo M.D., M.P.H. .

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Editors and Affiliations

  1. Glickman Urology & Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Howard B. Goldman

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Barboglio Romo, P.G., Clemens, J.Q. (2017). Autologous Fascial Slings. In: Goldman, H. (eds) Complications of Female Incontinence and Pelvic Reconstructive Surgery. Current Clinical Urology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-49855-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-49855-3_15

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  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-49854-6

  • Online ISBN: 978-3-319-49855-3

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