Current Clinical Urology

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1 Current Clinical Urology Eric A. Klein, MD, Series Editor Professor of Surgery Cleveland Clinic Lerner College of Medicine Head Section of Urologic Oncology Glickman Urological and Kidney Institute Cleveland, OH For further volumes:

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3 Howard B. Goldman Editor Complications of Female Incontinence and Pelvic Reconstructive Surgery

4 Editor Howard B. Goldman, MD Glickman Urologic and Kidney Institute The Cleveland Clinic Center for Female Pelvic Medicine and Reconstructive Surgery Cleveland, OH, USA ISBN ISBN (ebook) DOI / Springer New York Heidelberg Dordrecht London Library of Congress Control Number: Springer Science+Business Media, LLC 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Humana Press is a brand of Springer Springer is part of Springer Science+Business Media (

5 To my wife Suri for her support and encouragement. To all of my mentors and students who all continue to teach me.

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7 Preface I am honored and pleased to write a preface for the textbook on Complications of Female Incontinence and Pelvic Reconstructive Surgery. At a time when the subspecialty of female pelvic medicine and reconstructive surgery is in its infancy, I feel having such a resource available to pelvic surgeons is extremely bene fi cial. Dr. Goldman has invited internationally respected contributors to provide their experience and expertise regarding the avoidance and management of surgical complications related to a variety of female pelvic fl oor surgeries. As the majority of the surgeries we perform on our female patients are done for quality of life symptoms, it has become apparent that we need to do a better job reporting and managing the untoward outcomes that can sometimes occur after these interventions. This book brings these potential complications to the forefront. It will be of great use for both general urologists and gynecologists who perform pelvic fl oor surgeries as well as current and future specialists in female pelvic medicine and reconstructive surgery. Cincinnati, OH, USA Mickey Karram, MD vii

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9 Preface Surgery for incontinence, pelvic organ prolapse, and other disorders of the female pelvic fl oor has evolved in the past two decades as the specialty of Female Pelvic Medicine and Reconstructive Surgery has incorporated expertise from the fi elds of urology, gynecology, and colorectal surgery. Today, more surgeons are better equipped to treat disorders of the female pelvic fl oor than ever before. Unfortunately complications of surgery, whether intraoperative or postoperative, are inevitable even for the most experienced and highly skilled surgeon. Whether it is an unexpected fi nding in the operating room or an undesirable outcome of surgery, the Female Pelvic Surgeon must be equipped to prevent and manage a variety of complications. While there are several excellent texts devoted to indications for surgery and the technical aspects of surgical procedures Complications of Female Incontinence and Pelvic Reconstructive Surgery fi lls a need by providing readers with a comprehensive review of the prevention and management of common and not so common complications of female pelvic surgery. Dr. Howard Goldman has assembled a group of highly experienced authors from all three disciplines of Female Pelvic Medicine and Reconstructive Surgery. These authors offer in-depth descriptions of three critical areas: prevention, evaluation, and management of complications. They present practical information and surgical tips based on years of experience and a thorough review of the relevant literature. In addition, a look at the table of contents shows that complications from all types of reconstructive procedures are covered. I believe that Complications of Female Incontinence and Pelvic Reconstructive Surgery will be a great complement to the libraries of those of us who treat female pelvic disorders. Whether one is just starting a career or is highly experienced, this book is a welcome addition. Cincinnati, OH, USA Victor W. Nitti, MD ix

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11 Contents 1 Taxonomy of Complications of Pelvic Floor Surgery... 1 Roger R. Dmochowski, Alex Gomelsky, and Laura Chang-Kit 2 General Complications of Pelvic Reconstructive Surgery... 9 Ellen R. Solomon and Matthew D. Barber 3 Complications of Anterior Compartment Repair Alana Murphy and Courtenay K. Moore 4 Posterior Compartment Repair Benjamin M. Brucker and Victor W. Nitti 5 Complications of Transvaginal Apical Repairs: Evaluation and Management Kamran P. Sajadi and Sandip P. Vasavada 6 Complications of Abdominal Sacrocolpopexy Michelle Koski and J. Christian Winters 7 Colpocleisis: Current Practice and Complications Lior Lowenstein and Shay Erisson 8 Transvaginal Mesh Complications Farzeen Firoozi and Howard B. Goldman 9 Pain Complications of Mesh Surgery Lisa Rogo-Gupta and Shlomo Raz 10 Retropubic Bladder Neck Suspensions Elizabeth R. Mueller 11 Complications of Biologic and Synthetic Slings and Their Management Laura Chang-Kit, Melissa Kaufman, and Roger R. Dmochowski 12 Complications of Female Urethral Reconstructive Surgery Jerry Blaivas and Dorota Borawski xi

12 xii Contents 13 Complications of Urethral Diverticulectomy Alienor S. Gilchrist and Eric S. Rovner 14 Vesicovaginal and Urethrovaginal Fistula Repair Michael Ingber and Ray Rackley 15 Complications of Transvaginal Bladder Neck Closure David A. Ginsberg 16 Bladder Augmentation Sender Herschorn and Blayne K. Welk 17 Anal Sphincteroplasty Patricia C. Alves-Ferreira and Brooke Gurland 18 Complications of Cosmetic Gynecologic Surgery Dani Zoorob and Mickey Karram 19 Martius Fat Pad Construction Sunshine Murray and Philippe E. Zimmern 20 Complications of Soft Tissue Bulking Agents Used in the Treatment of Urinary Leakage Deborah J. Lightner and John J. Knoedler Index

13 Contributors Patricia C. Alves-Ferreira, PT Department of Colorectal Surgery A30, Cleveland Clinic, Cleveland, OH, USA Matthew D. Barber, MD, MHS Obstetrics, Gynecology and Women s Health Institute, Cleveland Clinic, Cleveland, OH, USA Jerry Blaivas, MD Department of Urology, Weill Medical College of Cornell University, New York, NY, USA Dorota Borawski, MD SUNY Downstate Medical Center and the Institute for Bladder and Prostate Research, Brooklyn, NY, USA Benjamin M. Brucker, MD Department of Urology, New York University Langone Medical Center, New York, NY, USA Roger R. Dmochowski, MD, FACS Department of Urologic Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA Shay Erisson, MD Urogynecology Service, Department of Obstetrics and Gynecology, Technion-Israel Institute of Technology, Haifa, Israel Farzeen Firoozi, MD Center for Pelvic Health and Reconstructive Surgery, The Arthur Smith Institute for Urology, Garden City, NY, USA Alienor S. Gilchrist, MD Department of Urology, Medical University of South Carolina, Charleston, SC, USA David A. Ginsberg, MD Department of Urology, Keck School of Medicine of USC, Los Angeles, CA, USA Howard B. Goldman, MD, FACS Center for Female Pelvic Medicine and Reconstructive Surgery, Center for Quality and Patient Safety, Glickman Urologic and Kidney Institute, The Cleveland Clinic, Cleveland, OH, USA Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA Alex Gomelsky, MD Department of Urology, Louisiana State University Health Sciences Center, Shreveport, Shreveport, LA, USA Brooke Gurland, MD, FACS Department of Colorectal Surgery A30, Cleveland Clinic, Cleveland, OH, USA xiii

14 xiv Contributors Sender Herschorn, BSc, MDCM, FRCSC Division of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada Michael Ingber, MD Department of Urogynecology, Saint Clare s Health System, Denville, NJ, USA Department of Urology, Weill Cornell Medical College, New York, NY, USA Mickey Karram, MD Division of Female Pelvic Medicine & Reconstructive Surgery, The Christ Hospital, University of Cincinnati, Cincinnati, OH, USA Department of Obstetrics/Gynecology, University of Cincinnati, Cincinnati, OH, USA Melissa Kaufman, MD Department of Urological Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA Laura Chang- Kit, MD Department of Urological Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA John J. Knoedler, MD Department of Urology, Mayo Clinic, Rochester, MN, USA Michelle Koski, MD Department of Urology, Medical University of South Carolina, Charleston, SC, USA Deborah J. Lightner, MD Department of Urology, Mayo Clinic, Rochester, MN, USA Lior Lowenstein, MD, MS Urogynecology Service, Department of Obstetrics and Gynecology, Technion-Israel Institute of Technology, Haifa, Israel Courtenay K. Moore, MD Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA Elizabeth R. Mueller, MD, MSME, FACS Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Urology and Obstetrics/ Gynecology, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA Alana Murphy, MD Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA Sunshine Murray, MD Department of Urology, UT Southwestern Medical Center, Dallas, TX, USA Victor W. Nitti, MD Department of Urology, New York University Langone Medical Center, New York, NY, USA Ray Rackley, MD Department of Urology, Cleveland Clinic, Cleveland, OH, USA Shlomo Raz, MD Division of Pelvic Medicine and Reconstructive Surgery, University of California Los Angeles, Los Angeles, CA, USA Lisa Rogo-Gupta, MD Division of Pelvic Medicine and Reconstructive Surgery, University of California Los Angeles, Los Angeles, CA, USA

15 Contributors xv Eric S. Rovner, MD Department of Urology, Medical University of South Carolina, Charleston, SC, USA Kamran P. Sajadi, MD Division of Urology, Oregon Health and Science University, Portland, OR, USA Ellen R. Solomon, MD Obstetrics, Gynecology and Women s Health Institute, Cleveland Clinic, Cleveland, OH, USA Sandip P. Vasavada, MD Center for Female Urology and Reconstructive Pelvic Surgery, Cleveland Clinic Main Campus, Cleveland, OH, USA Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA Blayne K. Welk, MD, FRCSC Division of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada J. Christian Winters, MD Department of Urology, Louisiana State University, New Orleans, LA, USA Philippe E. Zimmern, MD Department of Urology, UT Southwestern Medical School, Dallas, TX, USA Dani Zoorob, MD Division of Female Pelvic Medicine & Reconstructive Surgery, The Christ Hospital, University of Cincinnati, Cincinnati, OH, USA Department of Obstetrics/Gynecology, University of Cincinnati, Cincinnati, OH, USA

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