Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter?
Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately rem...
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| Veröffentlicht in: | Progrès en urologie (Paris) 2014-09, Vol.24 (11), p.714-719 |
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| creator | Canel, V Thubert, T Wigniolle, I Rivain, A L Fernandez, H Deffieux, X |
| description | Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately remove the catheter. The objective of the current study was to assess the results associated with immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure.
Retrospective case-control study. Group 1 (cases): 8 women who have experienced bladder injury during retropubic MUS procedure and group 2 (controls): 32 women (ratio of controls to cases: 4:1).
Mean (sd) age, BMI and MUCP were 62(13) vs. 59(10), 25(4) vs. 26(4) and 42(18) vs. 43(16), in group 1 and group 2, respectively (P=0.55, 0.56 and 0.92). Minimum follow-up duration was 12 months. None patient was lost to follow-up in group 1 (cases) and 2 patients were lost to follow-up in group 2 (controls) at 12 months follow-up. No rehospitalization or postoperative complication was noted in both groups. Immediate suprapubic postoperative pain exceeding 30/100 on VAS occurred in 1/8 (12%) and 3/32 (10%), in group 1 and group 2, respectively (P=1.00). Urinary stress incontinence cure rates were not significantly different between the two groups: 8/8 (100%) vs. 28/32 (87%), in group 1 and group 2, respectively (P=0.56). The level of satisfaction was comparable in both groups: PGI-I score was equal to 1(very satisfied) in 6/8 women (75%) and in 24/32 women (75%), in group 1 and group 2, respectively (P=1.00). De novo urgency was observed in 0/8 (0%) vs. 3/32 (10%), in group 1 and group 2, respectively (P=1.00).
In the current short retrospective series, immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure was not associated with an increased prevalence of complications.
4. |
| doi_str_mv | 10.1016/j.purol.2014.06.011 |
| format | Article |
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Retrospective case-control study. Group 1 (cases): 8 women who have experienced bladder injury during retropubic MUS procedure and group 2 (controls): 32 women (ratio of controls to cases: 4:1).
Mean (sd) age, BMI and MUCP were 62(13) vs. 59(10), 25(4) vs. 26(4) and 42(18) vs. 43(16), in group 1 and group 2, respectively (P=0.55, 0.56 and 0.92). Minimum follow-up duration was 12 months. None patient was lost to follow-up in group 1 (cases) and 2 patients were lost to follow-up in group 2 (controls) at 12 months follow-up. No rehospitalization or postoperative complication was noted in both groups. Immediate suprapubic postoperative pain exceeding 30/100 on VAS occurred in 1/8 (12%) and 3/32 (10%), in group 1 and group 2, respectively (P=1.00). Urinary stress incontinence cure rates were not significantly different between the two groups: 8/8 (100%) vs. 28/32 (87%), in group 1 and group 2, respectively (P=0.56). The level of satisfaction was comparable in both groups: PGI-I score was equal to 1(very satisfied) in 6/8 women (75%) and in 24/32 women (75%), in group 1 and group 2, respectively (P=1.00). De novo urgency was observed in 0/8 (0%) vs. 3/32 (10%), in group 1 and group 2, respectively (P=1.00).
In the current short retrospective series, immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure was not associated with an increased prevalence of complications.
4.</description><identifier>ISSN: 1166-7087</identifier><identifier>DOI: 10.1016/j.purol.2014.06.011</identifier><identifier>PMID: 25214453</identifier><language>fre</language><publisher>France</publisher><subject>Case-Control Studies ; Catheters, Indwelling ; Female ; Humans ; Intraoperative Complications - etiology ; Middle Aged ; Postoperative Care ; Prosthesis Implantation ; Retrospective Studies ; Suburethral Slings ; Urinary Bladder - injuries ; Urinary Catheterization</subject><ispartof>Progrès en urologie (Paris), 2014-09, Vol.24 (11), p.714-719</ispartof><rights>Copyright © 2014 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25214453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Canel, V</creatorcontrib><creatorcontrib>Thubert, T</creatorcontrib><creatorcontrib>Wigniolle, I</creatorcontrib><creatorcontrib>Rivain, A L</creatorcontrib><creatorcontrib>Fernandez, H</creatorcontrib><creatorcontrib>Deffieux, X</creatorcontrib><title>Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter?</title><title>Progrès en urologie (Paris)</title><addtitle>Prog Urol</addtitle><description>Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately remove the catheter. The objective of the current study was to assess the results associated with immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure.
Retrospective case-control study. Group 1 (cases): 8 women who have experienced bladder injury during retropubic MUS procedure and group 2 (controls): 32 women (ratio of controls to cases: 4:1).
Mean (sd) age, BMI and MUCP were 62(13) vs. 59(10), 25(4) vs. 26(4) and 42(18) vs. 43(16), in group 1 and group 2, respectively (P=0.55, 0.56 and 0.92). Minimum follow-up duration was 12 months. None patient was lost to follow-up in group 1 (cases) and 2 patients were lost to follow-up in group 2 (controls) at 12 months follow-up. No rehospitalization or postoperative complication was noted in both groups. Immediate suprapubic postoperative pain exceeding 30/100 on VAS occurred in 1/8 (12%) and 3/32 (10%), in group 1 and group 2, respectively (P=1.00). Urinary stress incontinence cure rates were not significantly different between the two groups: 8/8 (100%) vs. 28/32 (87%), in group 1 and group 2, respectively (P=0.56). The level of satisfaction was comparable in both groups: PGI-I score was equal to 1(very satisfied) in 6/8 women (75%) and in 24/32 women (75%), in group 1 and group 2, respectively (P=1.00). De novo urgency was observed in 0/8 (0%) vs. 3/32 (10%), in group 1 and group 2, respectively (P=1.00).
In the current short retrospective series, immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure was not associated with an increased prevalence of complications.
4.</description><subject>Case-Control Studies</subject><subject>Catheters, Indwelling</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Complications - etiology</subject><subject>Middle Aged</subject><subject>Postoperative Care</subject><subject>Prosthesis Implantation</subject><subject>Retrospective Studies</subject><subject>Suburethral Slings</subject><subject>Urinary Bladder - injuries</subject><subject>Urinary Catheterization</subject><issn>1166-7087</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOxDAMRbMAMTDwBUgoS1i0OE2bNmwQGvEYaRCbgW2VNi5k1E5KkoL6Nfwq5SVWV7KP77VNyDGDmAET55u4H5xt4wRYGoOIgbEdss-YEFEORT4jB95vAARAIffILMkSlqYZ3ycf90ZHg8PgVEu_xPZDZWq6flpT35rtM-2drVFPCK1t17emVgE1rUZqttOQ7dGpYN6m7uiDDbYb6WnVKq3RTcRmcOPZBV16agLtrfemapEGS9WbNfqrEv4dzFa_Y_sdOoW8YEB3eUh2G9V6PPrVOXm8uV4v7qLVw-1ycbWKepayEOm8EUICQMYQeQ6NyiDnrFFSSuQCOGpegFSapzzLC-RS55CKgoumziDRfE5Of3ync18H9KHsjK-nbdQW7eBLlgkm81QmbEJPftGh6lCXvTOdcmP591T-CRacfAs</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Canel, V</creator><creator>Thubert, T</creator><creator>Wigniolle, I</creator><creator>Rivain, A L</creator><creator>Fernandez, H</creator><creator>Deffieux, X</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter?</title><author>Canel, V ; Thubert, T ; Wigniolle, I ; Rivain, A L ; Fernandez, H ; Deffieux, X</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-d7f66900051ee370fa50731fa999e3603ed3809ad343578e39d7046836fc502d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2014</creationdate><topic>Case-Control Studies</topic><topic>Catheters, Indwelling</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Complications - etiology</topic><topic>Middle Aged</topic><topic>Postoperative Care</topic><topic>Prosthesis Implantation</topic><topic>Retrospective Studies</topic><topic>Suburethral Slings</topic><topic>Urinary Bladder - injuries</topic><topic>Urinary Catheterization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Canel, V</creatorcontrib><creatorcontrib>Thubert, T</creatorcontrib><creatorcontrib>Wigniolle, I</creatorcontrib><creatorcontrib>Rivain, A L</creatorcontrib><creatorcontrib>Fernandez, H</creatorcontrib><creatorcontrib>Deffieux, X</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Progrès en urologie (Paris)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Canel, V</au><au>Thubert, T</au><au>Wigniolle, I</au><au>Rivain, A L</au><au>Fernandez, H</au><au>Deffieux, X</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter?</atitle><jtitle>Progrès en urologie (Paris)</jtitle><addtitle>Prog Urol</addtitle><date>2014-09</date><risdate>2014</risdate><volume>24</volume><issue>11</issue><spage>714</spage><epage>719</epage><pages>714-719</pages><issn>1166-7087</issn><abstract>Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately remove the catheter. The objective of the current study was to assess the results associated with immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure.
Retrospective case-control study. Group 1 (cases): 8 women who have experienced bladder injury during retropubic MUS procedure and group 2 (controls): 32 women (ratio of controls to cases: 4:1).
Mean (sd) age, BMI and MUCP were 62(13) vs. 59(10), 25(4) vs. 26(4) and 42(18) vs. 43(16), in group 1 and group 2, respectively (P=0.55, 0.56 and 0.92). Minimum follow-up duration was 12 months. None patient was lost to follow-up in group 1 (cases) and 2 patients were lost to follow-up in group 2 (controls) at 12 months follow-up. No rehospitalization or postoperative complication was noted in both groups. Immediate suprapubic postoperative pain exceeding 30/100 on VAS occurred in 1/8 (12%) and 3/32 (10%), in group 1 and group 2, respectively (P=1.00). Urinary stress incontinence cure rates were not significantly different between the two groups: 8/8 (100%) vs. 28/32 (87%), in group 1 and group 2, respectively (P=0.56). The level of satisfaction was comparable in both groups: PGI-I score was equal to 1(very satisfied) in 6/8 women (75%) and in 24/32 women (75%), in group 1 and group 2, respectively (P=1.00). De novo urgency was observed in 0/8 (0%) vs. 3/32 (10%), in group 1 and group 2, respectively (P=1.00).
In the current short retrospective series, immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure was not associated with an increased prevalence of complications.
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| subjects | Case-Control Studies Catheters, Indwelling Female Humans Intraoperative Complications - etiology Middle Aged Postoperative Care Prosthesis Implantation Retrospective Studies Suburethral Slings Urinary Bladder - injuries Urinary Catheterization |
| title | Mid-uretral retropubic TVT sling procedure complicated by intraoperative cystotomy (bladder injury): Is it possible to avoid postoperative indwelling catheter? |
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