This chapter discusses the evaluation, prevention, and management of many complications commonly associated with pelvic reconstructive surgery. Of note, it does not include a discussion of the evaluation and management of lower urinary tract injuries, which can be found in…
Introduction Pelvic reconstructive surgery for genital prolapse and urinary stress incontinence usually results in improved quality of life ( ). However, numerous complications from mesh-augmented prolapse repairs, as well as placement of synthetic slings, have been reported in the literature.…
Introduction Lower urinary tract injury is one of the most serious complications of gynecologic surgery and, in addition to causing significant patient morbidity, is a common cause of litigation. Between 50% and 90% of all lower urinary tract injuries occur…
Injury to the lower urinary tract will occur in approximately 1% to 2% of women undergoing major gynecologic surgery. Although the risk of injury increases with increasing difficulty of the primary operation (e.g., large uterus, excessive bleeding, prolapse procedures, malignancy,…
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Vaginal stricture may occur secondary to inflammatory conditions of the vagina, vaginal surgery, episiotomy repair, or radiotherapy. The surgical approach to the stenosis depends on its anatomic location, underlying cause, and severity. For introital or vaginal stenosis, the procedure can…
Labial Fusion/Agglutination Filmy adhesions of the labia can be a common finding in the newborn and are usually left alone. Fusion of the labia is commonly associated with congenital adrenal hyperplasia, and further evaluation and testing may be warranted, especially…