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KMID : 0880520110470030165
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Chonnam Medical Journal
2011 Volume.47 No. 3 p.165 ~ p.169
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Complications Following Outside-in and Inside-out Transobturator-Tape Procedures with Concomitant Gynecologic Operations
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Cho Moon-Kyoung
Kim Chul-Hong
Kang Woo-Dae
Kim Jong-Woon
Kim Seok-Mo
Kim Yoon-Ha
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Abstract
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This study was undertaken to compare the complications of outside-in transobturator tape procedures (TOT) and inside-out transobturator tape procedures (TVT-O) with concomitant gynecologic surgery for the treatment of female stress urinary incontinence (SUI). A retrospective review of 206 consecutive patients who underwent either TOT or TVT-O with concomitant gynecologic operations between March 2008 and February 2011 was conducted. The incidence of perioperative complications was compared. For statistical analysis, chi-squared tests were used. There were no reports of intraoperative complications such as vaginal injury or bladder perforation. Postoperative complications were noted in 23 procedures (11.2%). These included 6 cases of urinary retention (2.9%), 2 cases of vulva hematoma (1.0%), 7 cases of urinary tract infection (3.4%), 4 cases of de novo urgency (2.9%), and 4 cases of vaginal erosion (2.9%). There were no significant differences in complication rates between the two groups. Our results suggest that inside-out and outside-in procedures are simple and safe techniques that may have a low rate of complications when used with a concomitant gynecologic operation.
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KEYWORD
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Complications, Urinary stress incontinence, Gynecologic surgical procedures
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