Complications after Incontinence Surgery in Female Patients
Attila MAJOROS, Attila KESZTHELYI,
Antal HAMVAS, Imre ROMICS
Department of Urology and Urooncological Centre, Semmelweis University, Budapest, Hungary
Aim: Our aim was to present the intra and postoperative complications
after different incontinence operations in female patients.
Material and methods: Two hundred and forty-eight patients underwent
incontinence surgery were evaluated (57 Burch colposuspension
and 191 different type of sling procedures) between 2002 and 2007.
The mean age of patients was 59.8 year (41–77).
Results: After colposuspension the following complications were
found: bladder injury in1 case (1.57%), peritoneum lesion in 2 cases
(3.5%), ureter occlusion in 1 case (1.75%), fever in 6 cases (10.5%),
postoperative urinary retention in 6 cases (10.5%), wound inflammation
in 3 cases (5.26%). Re-operation had to be performed in 1 case.
The postoperative urinary retention (24 cases, 12.5%) was the most
frequent finding after sling surgery was. Bladder perforation in 12
cases (6.7%), perforation of vaginal fornix in 3 cases (1.57%) were
detected. In 3 cases re-operation was necessary.
Conclusions: On the basis of our results it seems, that the sling procedures
have less serious intra- and postoperative complications than
the open ones.