{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:56:40Z","timestamp":1761764200260},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":600,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2002,5]]},"abstract":"<jats:p><jats:bold>Objective\n\t\t\t\t\t<\/jats:bold> To assess the prevalence of intra\u2010 and post\u2010operative complications with the tension free vaginal tape operation for female urinary incontinence.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> Non\u2010control case series.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> University Hospital.<\/jats:p><jats:p><jats:bold>Population\n\t\t\t\t\t<\/jats:bold> One hundred and seventy\u2010seven operations on women who were diagnosed urodynamically to have genuine stress incontinence. In 26 cases (15%) there was symptomatic urge incontinence.<\/jats:p><jats:p><jats:bold>Main outcome measures\n\t\t\t\t\t<\/jats:bold> Intra\u2010 and post\u2010operative complications in relation to individual surgeons and mode of anaesthesia (local or spinal), and continence at short term follow up.<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> Bladder or urethral perforation occurred in 26 cases (15%) and three operations were abandoned for these reasons. A failure to void after the first 24 hours was registered in 35 (20%); 21 (12%) had to undergo urethral dilatation while five patients (2.8%) had persistent urinary retention which required excision of the sling. These problems were significantly associated to the experience of surgeon. In seven cases (4%) haemorrhage required intravaginal tamponade. In three (1.7%) sling rejection occurred post\u2010operatively. When followed up six to eight weeks post\u2010operatively, 154 patients (88%) reported subjective cure, 21 (11%) significant improvement and two (1%) no improvement. The use of spinal anaesthesia increased the frequency of peroperative bladder perforation but affected neither the incidence of post\u2010operative bladder obstruction nor the outcome at follow up.<\/jats:p><jats:p><jats:bold>Conclusions\n\t\t\t\t\t<\/jats:bold> This study identifies short term complications which relate partly to the experience of the individual surgeon. Nevertheless the 88% subjective cure rate was independent of these factors.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2002.01195.x","type":"journal-article","created":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T16:13:58Z","timestamp":1072109638000},"page":"566-569","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Short term complications of the tension free vaginal tape operation for stress urinary incontinence in women"],"prefix":"10.1111","volume":"109","author":[{"given":"Gunilla","family":"Bodelsson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Henriksson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stellan","family":"Osser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Stjernquist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,22]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1","article-title":"An integral theory and its method for the diagnosis and management of female urinary incontinence","volume":"153","author":"Papa Petros P","year":"1993","journal-title":"Scand J Urol Nephrol"},{"key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1007\/BF01901606","article-title":"A multicenter study of tension\u2010free vaginal tape (TVT) for surgical treatment of stress urinary incontinence","volume":"9","author":"Ulmsten U","year":"1998","journal-title":"Int Urogyn J"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08272.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902378"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7121.1493"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1111\/j.1471-0528.2001.00092.x","article-title":"The tension\u2010free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinence","volume":"108","author":"Nilsson CG","year":"2001","journal-title":"Br J Obstet Gynaecol"},{"key":"e_1_2_6_8_2","first-page":"429","article-title":"Tension\u2010free vaginal tape. A minimally invasive solution to stress urinary incontinence in women","volume":"43","author":"Wang AC","year":"1998","journal-title":"J Reprod Med"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(1998)17:3<255::AID-NAU10>3.0.CO;2-J"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2002.01195.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2002.01195.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T15:13:31Z","timestamp":1697555611000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2002.01195.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,5]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2002,5]]}},"alternative-id":["10.1111\/j.1471-0528.2002.01195.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2002.01195.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,5]]},"assertion":[{"value":"2003-12-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}