ABSTRACT
OBJECTIVES: Analysis of changes in voiding patterns after sub-urethral TVT procedure: urodynamic variations and clinical repercussions. METHODS: 112 women included in an ethics committee protocol (CCPPRB ) with a mean follow-up of 22 months underwent complete urodynamic testing before and after TVT procedure and filled in pre- and post-operative questionnaires. RESULTS: Analysis of the questionnaires showed that two clinical symptoms were predominant post-operatively: dysuria and micturitional urge. The urodynamic profiles showed that TVT banding led to infravesical obstruction but not to significant detrusor overactivity. CONCLUSION: Our results show that clinical changes induced by the TVT procedure were due to infravesical obstruction, and that there was no progression of detrusor overactivity. We suggest two ways to avoid, or diminish, this post-operative obstruction, or to detect patients at risk from obstruction: training for women who use their abdominal muscles for voiding rather than their detrusor, or pre-operative screening of hypotonic bladders.
Subject(s)
Patient Satisfaction , Prostheses and Implants/adverse effects , Prosthesis Implantation/methods , Urinary Incontinence, Stress/surgery , Urologic Surgical Procedures/methods , Vagina/surgery , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Hematoma/etiology , Hematoma/therapy , Humans , Middle Aged , Outcome and Process Assessment, Health Care , Prospective Studies , Prosthesis Implantation/adverse effects , Treatment Outcome , Urinary Bladder/injuries , Urinary Incontinence, Stress/physiopathology , Urinary Retention/etiology , Urination , Urodynamics , Urologic Surgical Procedures/adverse effectsSubject(s)
Hemodynamics , Liver Transplantation/methods , Liver Transplantation/physiology , Paracentesis/methods , Blood Pressure , Heart Rate , Humans , Liver Cirrhosis/physiopathology , Liver Cirrhosis/surgery , Monitoring, Intraoperative , Pulmonary Artery , Vascular Resistance , Ventricular Function, LeftABSTRACT
A clinical case of fat necrosis of the breast is reported. The main clinical, radiographical and ultrasonographical aspects are described and discussed. The importance of surgical biopsy is emphasized in the atypical cases.