Abstract

MENESES PARRA, Angy Lorena; ARIAS, Beatriz  and  ESTRADA, Andrea. Complications and re-interventions of transobturator and retropubic tapes at Hospital Militar Central, Bogotá 2015-2020. Rev. Med [online]. 2022, vol.30, n.1, pp.17-26.  Epub June 30, 2022. ISSN 0121-5256.  https://doi.org/10.18359/rmed.5970.

The International Continence Society defines urinary incontinence (UI) as the involuntary loss of urine, a potentially treatable condition with a decrease in the quality of life of women in different aspects, including sexual health with their partner and their social well-being. It has been described that only 44.9% of women consult, having higher rates of depression and anxiety. The objective of this research was to determine the occurrence of intraoperative and postoperative complications with the performance of transobturator and retropubic taping at the Central Military Hospital in Bogota during the period 2015 to 2020. An observational, descriptive, retrospective, retrospective. All patients with diagnoses of urinary incontinence, both stress, emergency, and/or mixed, operated with tension-free mid-urethral tapes by retropubic or transobturator route were included. The most prevalent complications after the surgical procedure were pain (96.8 %), followed by urinary tract infection or expulsion of the band (8.6 %), among other less frequent complications such as hematomas, dyspareunia, and abscesses. Most patients obtained an adequate clinical response in the postoperative period, 77 % did not require additional management. Mediourethral tapes provide a good result with a low incidence of surgical complications and recurrence, improving the patient’s quality of life concerning her urinary incontinence pathology.

Keywords : urinary incontinence; mid-urethral sling; urethra; treatment effectiveness.

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