[Surgical complications in adult urology: Pelvic and perineal surgery].

Prog Urol

Service d'urologie, université Paris Saclay, hôpital de Bicêtre, AP-HP, 94270 Le Kremlin-Bicêtre, France.

Published: November 2022

AI Article Synopsis

  • Pelvic and perineal surgeries, especially for stress urinary incontinence and prolapse, are functional procedures necessitating careful patient selection and an assessment of discomfort for optimal outcomes and lower complication rates.
  • The risk of complications must be thoroughly evaluated and discussed with patients before proceeding with surgery, particularly due to recent concerns regarding prosthetic mesh.
  • This chapter will cover the complications related to various surgical methods for stress urinary incontinence and prolapse, including their epidemiology, essential assessments, treatment, and preventive measures.

Article Abstract

Pelvic and perineal surgeries and in particular those for stress urinary incontinence and prolapse are functional surgeries, which require careful selection of patients and assessment of discomfort to expect satisfactory surgical results and reduce failure rates and of complications. Before offering pelvic and perineal surgery, the risk of potential complications should be carefully assessed and discussed with patients. Recent attention to the potential complications prosthetic mesh has raised awareness in the urological community to report complications. This chapter will focus on the complications of surgeries used for stress urinary incontinence (synthetic retropubic or transobturator suburethral slings, colposuspension, pubovaginal slings, artificial urinary sphincter, adjustable periurethral balloons and periurethral injections of bulking agents) and sacrocolpopexies. The epidemiology of complications, the minimum assessment to be carried out, treatment and prevention will be discussed.

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Source
http://dx.doi.org/10.1016/j.purol.2022.08.013DOI Listing

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