Skip to main content
Log in

Complications of incontinence surgery

  • Review Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Knowledge of the complications which may result from surgical procedures for stress urinary incontinence is important for appropriate preoperative counselling. Complications addressed in this article include failure to cure incontinence, bleeding, infection, intraoperative damage to viscera, voiding dysfunction, osteitis pubis, nerve injuries, sling erosion, genital prolapse and dyspareunia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Blaivas JG. Urinary incontinence: the elderly and the urologist. Contemp Urol 1990;6:9

    Google Scholar 

  2. Philips TH, Zeidman EJ, Thompson IM, St.Claire FR. Complications following bladder neck suspension. Int Urogynecol J 1992;3:38–42

    Google Scholar 

  3. Urinary Incontinence Guideline Panel. Urinary incontinence in adults: clinical practice guideline. AHCPR Publication No. 92-0038. Rockville, MD, Agency for Health Care Policy and Research, Public Health Service, United States Department of Health and Human Services; 1992

  4. Diokno AC, Brown MB, Brock BM, Herzog AR, Normolle DP. Prevalence and outcome of surgery for female incontinence. Urology 1989;33:285–290

    Google Scholar 

  5. Blaivas JG, Klutke CG, Rass S, Webster GD. When sphincter failure is the cause of female stress incontinence. Contemp Urol 1993;3:33–54

    Google Scholar 

  6. Lee R. Repeat Marshall-Marchetti procedure for recurrent stress urinary incontinence. Am J Obstet Gynecol 1975;122:219–229

    Google Scholar 

  7. Stanton SL, Cardozo LD, Kerr-Wilson R. Treatment of delayed onset of spontaneous voiding after surgery for incontinence. Urology 1979;13:494–496

    Google Scholar 

  8. Eriksen BC, Hagen B, Eik-Nes SH, Molne K, Mjlnerd OK, Romslo I. Long-term effectiveness of the Burch colposuspension in female urinary stress incontinence. Acta Obstet Gynecol 1990;69:45–50

    Google Scholar 

  9. Webster GD, Kreder KJ. Voiding dysfunction following cystourethropexy: its evaluation and management. J Urol 1990;144:670–673

    Google Scholar 

  10. Webster GD, Perez LM, Khoury JM et al. Management of type III stress urinary incontinence using artificial urinary sphincter. Urology 1992;39:499–503

    Google Scholar 

  11. Appell RA. Techniques and results in the implantation of the artificial urinary sphincter in women with type III stress urinary incontinence by a vaginal approach. Neurourol Urodyn 1988;7:613–619

    Google Scholar 

  12. Politano VA, Small MP, Harper JM, Lyme CM. Periurethral Teflon injection for urinary incontinence. J Urol 1974;111:180–183

    Google Scholar 

  13. Politano VA. Periurethral polytetrafluoroethylene injection for urinary incontinence. J Urol 1982;127:439–442

    Google Scholar 

  14. Stricker P, Haylen B. Injectable collagen for type III female stress incontinence: the first 50 Australian patients. Med J Aust 1993;151:89–91

    Google Scholar 

  15. Raz S, Siegel AL, Short JL et al. Vaginal wall sling. J Urol 1989;141:43–46

    Google Scholar 

  16. McGuire EJ, Bennett CJ, Konnak JA et al. Experience with pubovaginal slings for urinary incontinence at the University of Michigan. J Urol 1987;138:525–526

    Google Scholar 

  17. Beck RP, McCormick S, Nordstrom L. The fascia lata sling procedure for treating recurrent genuine stress incontinence of urine. Obstet Gynecol 1988;72:699–703

    Google Scholar 

  18. Riggs JA. Retropubic cystourethropexy: a review of two operative procedures with long-term follow-up. Obstet Gynecol 1986;68:98–105

    Google Scholar 

  19. Guam L, Ricciotti NA, Fair WR. Endoscopic bladder neck suspension for stress urinary incontinence. J Urol 1984;132:1119–1121

    Google Scholar 

  20. Kersey J. The gauze hammock sling operation in the treatment of stress incontinence. Br J Obstet Gynecol 1983;90:945–949

    Google Scholar 

  21. Beck RP, Grove D, Arnusch D, Harvey J. Recurrent urinary stress incontinence treated by the fascia lata sling procedures. Am J Obstet Gynecol 1974;1205:613–621

    Google Scholar 

  22. Bryans FE. Marlex gauze hammock sling operation with Cooper's ligament attachment in management of recurrent urinary stress incontinence. Am J Obstet Gynecol 1979;133:292–294

    Google Scholar 

  23. Morgan JE, Farrow GA, Stewart FE. The Marlex sling operation for the treatment of recurrent stress urinary incontinence: A sixteen-year review. Am J Obstet Gynecol 1985;151:224–226

    Google Scholar 

  24. Summitt RL, Bent AE, Ostergard DR, Harris TA. Suburethral sling procedure for genuine stress incontinence and low urethral closure pressure: a continued experience. Int Urogynecol J 1992;3:18–21

    Google Scholar 

  25. Mainprize PC, Drutz HP. The Marshall-Marchetti-Krantz procedure: a critical review. Obstet Gynecol Surv 1988;4312:724–729

    Google Scholar 

  26. Beck RP, McCormick S, Nordstrom L. A twenty-five year experience with 519 anterior colporrhaphy procedures. Obstet Gynecol 1991;78:1011–1018

    Google Scholar 

  27. Katske FA, Raz S. Use of Foley catheter to obtain transvaginal tamponade. Urology 1987;26:18

    Google Scholar 

  28. VanGeelen JM, Theeuwes AGM, Eskes TKAB, Martin CB. The clinical and urodynamic effects of anterior vaginal repair and Burch colposuspension. Am J Obstet Gynecol 1988;159:137–144

    Google Scholar 

  29. Spencer JR, O'Connor J, Schaeffer AJ. A comparison of endoscopic suspension of the vesicle neck with suprapubic vesicourethropexy for treatment of stress urinary incontinence. J Urol 1987;137:411–415

    Google Scholar 

  30. Horbach NS, Blanco JS, Ostergard DR, Bent AE, Cornella JL. A suburethral sling procedure with polytetrafluoroethylene for the treatment of genuine stress incontinence in patients with low urethral closure pressure. Obstet Gynecol 1988;71:648–652

    Google Scholar 

  31. Stanton SL, Cardozo LD. Results of the colposuspension operation for incontinence and prolapse. Br J Obstet Gynaecol 1979;86:693–697

    Google Scholar 

  32. Morgan JE, Farrow GA, Stuart FE. The Marlex sling operation for the treatment of recurrent stress urinary incontinence: A sixteen-year review. Am J Obstet Gynecol 1985;151:224–226

    Google Scholar 

  33. Muzsnai D, Carrillo E, Dubin C, Silverman I. Retropubic vaginopexy for correction of urinary stress incontinence. Obstet Gynecol 1992;59:113–118

    Google Scholar 

  34. Loughlin KR, Whitmore WF, Gittes RF, Richie JP. Review of an eight-year experience with modifications of endoscopic suspension of the bladder neck for female stress urinary incontinence. J Urol 1990;143:44–45

    Google Scholar 

  35. Kursh ED, Angell AH, Resnick MI. Evolution of endoscopic urethropexy: seven-year experience with various technique. Urology 1991;337:428–431

    Google Scholar 

  36. Wheelahan JB. Long-term results of colposuspension. Br J Urol 1990;65:329–332

    Google Scholar 

  37. Varner RE. Retropubic long needle suspension procedures for stress urinary incontinence. Am J Obstet Gynecol 1990;163:551–557

    Google Scholar 

  38. Peattie AB, Stanton SL. The Stamey operation for correction of genuine stress incontinence in the elderly woman. Br J Obstet Gynaecol 1989;96:983–986

    Google Scholar 

  39. Green DF, McGuire EJ, Lytton B. A comparison of endoscopic suspension of the vesicle neck versus anterior urethropexy for the treatment of stress urinary incontinence. J Urol 1986;136:1205–1207

    Google Scholar 

  40. Andersen JT, Heisterberg L, Hebjoren S et al. Suprapubic versus transurethral bladder drainage after colposuspension/vaginal repair. Acta Obstet Gynecol Scand 1985;64:139–143

    Google Scholar 

  41. Bergman A, Matthews L, Ballard C, Roy S. Suprapubic versus transurethral bladder drainage after surgery for stress urinary incontinence. Obstet Gynecol 1987;69:546–549

    Google Scholar 

  42. Dajani AS, Bisno AL, Chung KJ et al. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA 1990;264:2919–2922

    Google Scholar 

  43. Peters WA, Thornton WN. Selection of the primary operative procedure for stress urinary incontinence. Am J Obstet Gynecol 1980;137:923–930

    Google Scholar 

  44. Griffith-Jones MD, Abrams PH. The Stamey endoscopic bladder neck suspension in the elderly. Br J Urol 1990;65:170–172

    Google Scholar 

  45. Light JK. Abdominal approach for implantation of the AS800 artificial urinary sphincter in females. Neurourol Urodyn 1988;7:603–611

    Google Scholar 

  46. Scott FB. The artificial urinary sphincter. Urol Clin North Am 1989;16:105–117

    Google Scholar 

  47. Lotenfoe R, O'Kelly JK, Helal M, Lockhart JL. Periurethral polytetrafluoroethylene paste injection in incontinent female subjects: surgical indications and improved surgical technique. J Urol 1993;149:279–282

    Google Scholar 

  48. Noller KL, Pratt JH, Symmonds RE. Bowel perforation with suprapubic cystostomy: report of two cases. Obstet Gynecol 1976;48:67S-69S

    Google Scholar 

  49. Burch JC. Cooper's ligament urethrovesicle suspension for stress incontinence: nine years' experience. Results, complications, technique. Am J Obstet Gynecol 1968;100:764–772

    Google Scholar 

  50. Wagner G, Husslein P, Enzelsberger H. Is prostaglandins E2 really of therapeutic value for postoperative urinary retention? Results of a prospectively randomized double-blind study. Am J Obstet Gynecol 1985;151:375–379

    Google Scholar 

  51. Tamella T. Prevention of prolonged voiding problems after unexpected postoperative urinary retention: comparison of phenoxybenzamine and carbachol. J Urol 1986;136:1254–1257

    Google Scholar 

  52. Livne PM, Kaplan B, Ovadia O, Servadio C. Prevention of posthysterectomy urinary retention by alpha-adrenergic blocker. Acta Obstet Gynecol Scand 1983;62:337–340

    Google Scholar 

  53. Deane AM, English P, Hehir M, Williams JP, Worth PHL. Teflon injection in stress incontinence. J Urol 1985;57:78–80

    Google Scholar 

  54. Lopez AE, Padron OS, Pastias G, Politano VA. Transurethral polytetrafluoroethylene injection in female patients with urinary incontinence. J Urol 1993;150:856–858

    Google Scholar 

  55. Vesey SG, Rivett A, O'Boyle PJ. Teflon injection in female stress incontinence: effect on urethral pressure profile and flow rate. Br J Urol 1988;62:39–41

    Google Scholar 

  56. Boykin W, Rodriguez FR, Brizzolara JP, Thompson IM, Zeidman EJ. Complete urinary obstruction following periurethral polytetrafluoroethylene injection for urinary incontinence. J Urol 1989;141:1199–1200

    Google Scholar 

  57. Galloway NTM, Davies N, Stephenson TP. The complications of colposuspension. Br J Urol 1987;60:122–124

    Google Scholar 

  58. Wiskin AK, Creighton SM, Stanton SL. The incidence of genital prolapse following the Burch colposuspension. Am J Obstet Gynecol 1992;167:399–405

    Google Scholar 

  59. Gittes RF, Laughlin KR. No-incision pubovaginal suspension for stress incontinence. J Urol 1987;138:568–570

    Google Scholar 

  60. Hilton P, Mayne CJ. The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow-up over four years. Br J Obstet Gynaecol 1991;98:1141–1149

    Google Scholar 

  61. Miyazaki F, Shook G. Ileoinguinal nerve entrapment during needle suspension for stress incontinence. Obstet Gynecol 1992;80:246–248

    Google Scholar 

  62. Wang Y, Mitchell D, Hadley R. The anatomical basis for femoral neuropathy due to procedures performed in the modified lithotomy position. Int Urogynecol J 1993;4:390

    Google Scholar 

  63. Karram MM. Transvaginal needle suspension. In: Hurt WG, ed. Urogynecologic surgery. Gaithersburg, MD: Aspen Publishers 1992:61–72

    Google Scholar 

  64. McIntosh LJ, Mallett VT, Richardson DA. Complications from permanent suture in surgery for stress urinary incontinence. J Reprod Med 1993;38:823–825

    Google Scholar 

  65. Richardson AC, Edmonds PB, Williams NC. Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet Gynecol 1981;57:357

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nygaard, I.E., Kreder, K.J. Complications of incontinence surgery. Int Urogynecol J 5, 353–360 (1994). https://doi.org/10.1007/BF00418699

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00418699

Keywords

Navigation