Midurethral Sling (Transobturator)
This Midurethral Sling (Transobturator) course will teach you:
- To place a small strip of graft material underneath the mid-urethra in order to provide midurethral support during moments of exertional stress on the bladder, thereby preventing involuntary leakage of urine.
Special attention is paid to the following hazards you may encounter during the Midurethral Sling (Transobturator):
- Bladder perforation
- Mesh sling twisting
- Urethral kinking
- Tissue damage
- Vaginal tissue contraction
With the following tips you might perform the Midurethral Sling (Transobturator)
- Bladder perforation visualization
- Reference point
- Syringe angle
- Bladder neck location
- Dissection technique
- Introduction facilitation
- Insertion technique
- Successful anchor introduction check
- Adequate anchor securing
- Vaginal wall closure aiding
After studying this Midurethral Sling (Transobturator) course you are familiar with the most common complications:
- Urinary bladder perforation
- Persistent urinary incontinence
- Groin pain
- Vaginal sling erosion
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Step by step
Anterior vaginal wall dissection
Introduce a urinary catheter into the external urethral orifice to empty the bladder once.
Although the chance of a bladder perforation is small when placing the anchors through the obturator foramen it is still advised to empty the bladder once prior to surgery to reduce the risk of bladder perforation.
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