Pelviperineology

Table 1. -Comparison of the complications of this study with that of Cosson et al.⁸ and Fatton et al. ¹²

Note 1: In one patient there was an EBL > 500ml. This woman had a large fibroid uterus with 1st degree uterine prolapse. She requested a hysterectomy at the time of her Prolift due to pressure symptoms caused by the large fibroid uterus. Most of the blood loss occurred during the difficult vaginal hysterectomy part of the procedure and was not associated with the Prolift procedure itself. She did not require blood transfusion. The histology confirmed a large fibroid uterus weighing 481g (150mm x140mm x70mm).

Note 2: There were no cases of urinary retention by conventional definitions. There was one woman who passed 350ml on first void, the nursing staff measured residual urine of 96mls. For no clear indication she re-inserted an indwelling catheter again. On the same day the woman had to leave the hospital to attend to family business with the catheter still in situ. By the time she returned the next morning she had a successful trial after removal of the catheter.

Table 2. – Effect of Prolift procedure on associated SUI.