Management of Sling Surgery Complications

  • Jay Iyer
  • Ajay Rane


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.


Stress Urinary Incontinence Recurrent Urinary Tract Infection Bladder Perforation Urethral Injury Sling Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyJames Cook UniversityTownsvilleAustralia

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