ArticleInternational urogynecology journal2014
Repair of complete urethral disruption due to synthetic sling complication.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisUrethral complications due to synthetic midurethral slings are rare. Possible causes may include unrecognized trocar injury, mesh implantation despite recognized injury, mesh contamination leading to inflammation and delayed perforation, and excessive sling tension. There is no consensus as to the surgical management of urethral complications with regard to how much mesh should be excised, whether an interposition flap should be used, and whether a pubovaginal sling should be placed at the time of surgery. The purpose of this video is to present a technique of repairing complete urethral disruption due to a synthetic midurethral sling complication.
methodsIn this video, we demonstrate the steps to perform primary end-to-end urethral reconstruction for repairing complete urethral disruption. Any residual synthetic mesh must first be excised, after which the anastomosis may be completed.
resultsComplete urethral disruption is a rare complication of synthetic midurethral sling surgery that can be repaired primarily with good results.
conclusionsThere is no consensus regarding surgical management of urethral complications caused by synthetic midurethral slings, and thus an individualized approach should be used based on patient presentation and surgeon expertise.
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