Stress Incontinence and Pelvic Prolapse (RR Dmochowski, Section Editor)

Current Bladder Dysfunction Reports

, Volume 7, Issue 3, pp 187-193

First online:

Patient Safety and Surgical Intervention for Urinary Incontinence and Pelvic Organ Prolapse

  • Alex GomelskyAffiliated withDepartment of Urology, Louisiana State University Health Sciences Center–Shreveport
  • , Jason McCourtAffiliated withMS III, Louisiana State University Health Sciences Center–Shreveport School of Medicine
  • , Roger R. DmochowskiAffiliated withDepartment of Urologic Surgery, Vanderbilt University Medical Center Email author 

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Abstract

While surgical options for stress urinary incontinence and pelvic organ prolapse continue to become less-invasive, complications can still occur. Measures to standardize the preoperative diagnosis and treatment options are currently being developed. Likewise, the American Urological Association has developed best practice statements regarding the administration of perioperative antibiotics and prevention of deep vein thrombosis in patients undergoing pelvic surgery. Furthermore, other perioperative steps, such as the type of bowel preparation and proper patient positioning, play a significant role in perioperative morbidity. A discussion of available evidence regarding these perioperative issues is presented in this paper.

Keywords

Stress urinary incontinence Pelvic organ prolapse Surgery Complications Patient safety Surgical intervention Quality indicators Perioperative Bowel preparation Positioning Antibiotics Deep vein thrombosis