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Management of Sling Surgery Complications

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Principles and Practice of Urogynaecology

Abstract

The management of urodynamically proven stress urinary incontinence underwent a paradigm shift with the focus changing from bladder neck suspension to support of the mid-urethra in the last two decades. This has resulted in the replacement of Burch colposuspension and pubovaginal slings to synthetic mid-urethral slings as the primary surgical option in women with stress urinary incontinence (SUI). The introduction of synthetic mid-urethral slings has resulted in good objective and subjective cure rates but can be associated with complications that pose a challenge to the treating surgeon. Surgical treatment for SUI has rapidly evolved and the initially introduced mid-urethral sling, retropubic tension-free vaginal tape (TVT), is accepted worldwide as a standard treatment for women suffering from SUI. However, slings have been associated with a few early and delayed complications which may result in varying degrees of morbidity. Serious complications such as bowel injury, major vascular injury, and even death have been reported with mid-urethral sling procedures.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, James Cook University, Townsville, Queensland, Australia

    Jay Iyer FRANZCOG & Ajay Rane OAM, FRANZCOG, FRCOG

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  1. Jay Iyer FRANZCOG
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  2. Ajay Rane OAM, FRANZCOG, FRCOG
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Corresponding author

Correspondence to Ajay Rane OAM, FRANZCOG, FRCOG .

Editor information

Editors and Affiliations

  1. Reproductive Medicine & Women's Health, Chennai, India

    A Tamilselvi

  2. Department of Obstetrics and Gynaecology, James Cook University, Townsville, Australia

    Ajay Rane

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Iyer, J., Rane, A. (2015). Management of Sling Surgery Complications. In: Tamilselvi, A., Rane, A. (eds) Principles and Practice of Urogynaecology. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1692-6_8

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  • DOI: https://doi.org/10.1007/978-81-322-1692-6_8

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-1691-9

  • Online ISBN: 978-81-322-1692-6

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