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Complications of Female Incontinence and Pelvic Reconstructive Surgery pp 25–41Cite 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 is 19%. The prevalence of perioperative complications among women undergoing reconstructive pelvic surgery has been reported to be as high as 33%. There are a multitude of factors that are found to increase perioperative risk. A large retrospective cohort study including 1931 women who had undergone prolapse surgery found an overall complication rate of 14.9%. 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 covered.

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Authors and Affiliations

  1. Division of Urogynecology and Pelvic Surgery, Department of Obstetrics and Gynecology, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199, USA

    Ellen R. Solomon M.D.

  2. Department of Obstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA

    Matthew D. Barber M.D., M.H.S.

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  1. Ellen R. Solomon M.D.
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  2. Matthew D. Barber M.D., M.H.S.
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Correspondence to Ellen R. Solomon M.D. .

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

    Howard B. Goldman

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Solomon, E.R., Barber, M.D. (2017). General Complications of Pelvic Reconstructive Surgery. 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_4

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  • DOI: https://doi.org/10.1007/978-3-319-49855-3_4

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