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  • 标题:Long-term risk of complications after mid-urethral sling IVS implantation
  • 本地全文:下载
  • 作者:Grzegorz Surkont ; Edyta Wlaźlak ; Jacek Suzin
  • 期刊名称:Annals of Agricultural and Environmental Medicine
  • 印刷版ISSN:1232-1966
  • 电子版ISSN:1898-2263
  • 出版年度:2015
  • 卷号:22
  • 期号:1
  • 页码:163-166
  • DOI:10.5604/12321966.1141388
  • 出版社:Institute of Agricultural Medicine in Lublin
  • 摘要:Introduction. Results of short-term evaluation of multifilament microporous midurethral tape IVS differ a great deal. Duringthe first year of implantation, erosions have been observed in 0%–26% of operated women. Long-term observations arerare. They suggest high risk of extrusion and infection even after years of implantation.Objective. The purpose of the study was to evaluate long-term risk of complications after IVS implantation.Material and methods. Between 2001–2005, 72 women were operated on with the use of IVS mid-urethral tape.Results. Two women had vaginal erosions during the first 3 months after the operation. Twelve women had vaginalerosions, purulent vaginal discharge, with IVS tape sticking out of the abdominal wall or vagina, and abdominal abscess.These complications were diagnosed between 9 months and 6 years after IVS implantation. The patients were operatedon vaginally and open abdominally, 1–5 times because of complications after IVS implantation.Conclusions. In the case of post-IVS complication, as much tape as possible should be excised. Long-term follow up onpatients with IVS implantation should be recommended to the centres where IVS tape was used, even to patients after removalof the tape. Risk of erosion, extrusion and infection after midurethral multifilament microporous IVS tape implantation istoo high – which is the reason it should no longer be used
  • 关键词:stress urinary incontinence; IVS; multifilament tape; long-term outcome; erosion; abscess
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