erosions are not related to errant sling placement.
complete excision of exposed material should be performed.
symptoms are not usually associated with erosion.
bladder erosions cannot be managed endoscopically in well-selected cases.
vaginal erosions cannot be managed conservatively.
resolved by complete excision of the sling.
not associated with changes in urodynamic parameters.
managed initially conservatively, but sling release should be contemplated when persistent voiding trials are not successful.
predictable based on unique preoperative voiding parameters such as flow rate.
managed by immediate sling release.
vascular perforation.
all of the above.
significant hemorrhage requiring transfusion.
superficial vaginal material exposure.
intestinal perforation.
surgical placement of the tape requires insertion through the adductor longus tendon.
anterior branch of the obturator artery is located at the medial aspect of the obturator foramen.
tape never traverses the gracilis or adductor magnus brevis muscles.
dorsal nerve of the clitoris is in close juxtaposition to the tape.
the tape remains above the perineal membrane and outside the true pelvis and does not penetrate the levator ani group.
no risk of lower urinary tract injury.
no risk of leg pain or dyspareunia.
similar meshes in all available kits.
no absolute requirement for cystoscopy.
either outside-in or inside-out approaches.
indicate that vaginal erosion is similar regardless of the type of tape used.
appear to be relatively similar regardless of whether ISD is present preoperatively.
include bladder, but not urethral, injury being reported.
are not affected by the presence of urethral hypermobility.
show that voiding dysfunction is significantly less with this technique as compared with the retropubic approach.
the “hammock position” requires passage of trocars through the obturator externus muscle.
erosion and extrusion rates are higher.
tape is only appropriate in high-risk populations (e.g., prior urinary diversion, renal transplant).
one benefit of this technique includes lack of need for cystoscopy after placement.
1-year results demonstrate durability similar to the TVT and TOT approaches.
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