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Complications of Transobturator Synthetic Slings

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The Innovation and Evolution of Medical Devices

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Abstract

Transobturator (TOT) placement of midurethral slings has demonstrated excellent efficacy similar to retropubic approaches with regard to treatment of female SUI; however, the TOT vector of implantation has also manifested a select and unique complication profiles. In addition to recognized complications of all midurethral slings, including mesh erosion, postoperative voiding dysfunction, and obstruction, intricacies of TOT placement and obturator foramen anatomy dictate individualized evaluation and management of complications. Indeed, de novo neurologic manifestations of thigh and groin pain mandate TOT-specific treatment strategies. Management of TOT complications are discussed in this book as the vaginal mesh kits use the same transobturator approach used for TOT slings and may require a some of the same approaches for removal.

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Authors and Affiliations

  1. Department of Urology, Vanderbilt Medical Center, Nashville, TN, USA

    Melissa R. Kaufman & Roger R. Dmochowski

  2. Department of Urology, Albany Medical Center, Albany, NY, USA

    Laura Chang-Kit

  3. Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA

    Elizabeth T. Brown

Authors
  1. Melissa R. Kaufman
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  2. Laura Chang-Kit
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  3. Elizabeth T. Brown
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  4. Roger R. Dmochowski
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Corresponding author

Correspondence to Melissa R. Kaufman .

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Editors and Affiliations

  1. INOVA Health System, Falls Church, VA, USA

    S. Abbas Shobeiri

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Kaufman, M.R., Chang-Kit, L., Brown, E.T., Dmochowski, R.R. (2019). Complications of Transobturator Synthetic Slings. In: Shobeiri, S. (eds) The Innovation and Evolution of Medical Devices. Springer, Cham. https://doi.org/10.1007/978-3-319-97073-8_12

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  • DOI: https://doi.org/10.1007/978-3-319-97073-8_12

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-97073-8

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