Transvaginal Bladder Neck Closure
References Patients Fistula rate (%) Zimmern et al. [1] 6 0 Nielsen and Bruskewitz [11] 5 20 Eckford et al. [12] 50 22 Levy et al. [3] 4 50 Andrews…
Retropubic Bladder Neck Suspensions
Fig. 13.1 (a) Cystoscopic view of a stone at the bladder neck in a patient with pelvic pain and UTIs following a Burch procedure. (b) Prolene suture and stone following…
Medical Malpractice: Analysis of Factors Driving Litigation and Insight into Reducing Risk
Fig. 3.1 Countrywide frequency , physicians. (Source: National Practitioner Data Bank. https://www.npdb.hrsa.gov/) With respect to severity, the country has seen a slight uptick over the past 15 years, but only…
Botulinum Toxin Injection
© Springer International Publishing AG 2017Howard B. Goldman (ed.)Complications of Female Incontinence and Pelvic Reconstructive SurgeryCurrent Clinical Urology10.1007/978-3-319-49855-3_29 29. Botulinum Toxin Injection Melissa R. Kaufman1 (1) Department of Urologic Surgery, Vanderbilt Medical Center, Nashville, TN, USA…
Patient Consent and Patient Perception of Complications
Model Definition and problems Professional model Disclosure and discussion based on what other physicians would disclose in similar circumstances Problem: Promotes generalizations and diminishes importance of individual patient values and…
Robotic/Laparoscopic Female Pelvic Reconstructive Surgery
Preoperative considerations Patient history and physical exam • Thorough assessment of tolerance of abdominal insufflation/Trendelenberg positioning – Smoking history, exercise tolerance, obesity – Cardiopulmonary/renal disease – Increased ICP – Hypovolemic state • Abdominal survey for scars,…
Sacrospinous Ligament Suspension
Fig. 8.1 Sagittal cadaveric dissection demonstrating the relationship of the coccygeus-sacrospinous ligament (C-SSL) to the sacral nerve roots and pudendal nerve (PN). Important vascular structures include the internal pudendal artery…
Taxonomy of Complications of Pelvic Floor Surgery
Time General Specific Reoperation Perioperative Acute bleeding Hematoma drainage Transfusion Organ injury Repair organ injury Pneumonia, atelectasis Ileus Arrhythmia, MI, CVA, PE, DVT, death Postoperative <30 days MI, CVA, PE,…
Anterior Compartment Repair
Complication Prevention Bleeding Dissection in correct plane Avoid retropubic space Ureteral injury Cystoscopy with assessment of ureteral patency Bladder injury Proper dissection SUI Preoperative assessment Bladder outlet obstruction Preoperative assessment…
