Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Tamussino, KF; Hanzal, E; Kölle, D; Ralph, G; Riss, PA; Austrian Urogynecology Working Group.
Tension-free vaginal tape operation: results of the Austrian registry.
Obstet Gynecol. 2001; 98(5 Pt 1):732-736
Doi: 10.1016%2FS0029-7844%2801%2901565-4
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- Führende Autor*innen der Med Uni Graz
- Tamussino Karl
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- Abstract:
- OBJECTIVE: To assess the use of and perioperative complications associated with the tension-free vaginal tape operation with a central registry. METHODS: Fifty-five gynecology units completed questionnaires on patients undergoing the tension-free vaginal tape operation. Information was collected on patient, surgical, and postoperative data. RESULTS: A total of 2795 patients were entered. Overall, 773 patients (28%) had undergone previous surgery for incontinence or prolapse; 1640 (59%) tension-free vaginal tapes were performed as isolated operations, and 1155 (41%) were done in combination with other procedures. The median operating time for tension-free vaginal tapes alone was 30 minutes (range 10-120). Of the isolated tension-free vaginal tapes, 727 (44%) were performed with local, 711 (43%) with regional, and 193 (12%) with general anesthesia. In patients undergoing tension-free vaginal tape only, postoperative bladder drainage was obtained with intermittent catheterization in 389 (24%) patients, an indwelling urethral catheter in 1032 (63%), and a suprapubic catheter in 143 (9%). The bladder perforation rate was 2.7% overall (n = 75) and higher in patients with than in those without previous surgery (4.4% compared with 2.0%, P =.01). There were four bladder perforations (3.3%) among the 120 patients with previous colposuspension. Most patients undergoing tension-free vaginal tape only were able to void the next day (range 0 to over 64). A total of 68 patients (2.4%) required reoperation for reasons related to the tape (39 to loosen, remove, or cut the tape, or to place a suprapubic catheter, 19 for hematoma, one for bowel injury). CONCLUSION: The tension-free vaginal tape has become a frequently performed operation in Austria. There are considerable variations in clinical practice. The risk of bladder perforation was increased in patients with previous surgery. Severe complications were rare.
- Find related publications in this database (using NLM MeSH Indexing)
- Austria - epidemiology
- Female - epidemiology
- Humans - epidemiology
- Middle Aged - epidemiology
- Postoperative Complications - epidemiology
- Registries - statistics and numerical data
- Reoperation - statistics and numerical data
- Surgical Mesh - statistics and numerical data
- Time Factors - statistics and numerical data
- Urinary Bladder - injuries
- Urinary Incontinence, Stress - epidemiology
- Uterine Prolapse - epidemiology