1. The complications incontinence management John Short

2. Intraoperative Postoperative Long term

3. Intraoperative Haemorrhage Visceral injury

4. postoperative Infection Voiding problems Nerve injury Fistula Erosion

5. Long term Detrusor Overactivty Sexual dysfunction Prolapse

6. Haemorrhage VesselDistance from trochar Superficial epigastric3.9 (0.9-6.7) Inferior epigastric3.9 (1.9-6.6) External Iliac4.9 (2.9-6.2) Obturator3.2 (1.6-4.3)

7. Visceral injury Bowel Bladder Ureter Urethra

9. Bladder Lap colpo2.8% Open colpo0.7% TVT5-9% TOT0-12.9%(*) Sling3.5%

10. Urethra TVT 0.5% (0-2%) TOT 1.09% (0-2.5%)

11. Infection UTI wound

12. UTI TVT 5.9-22% Colpo2.1-61% TOT2.3-17.8% Sling91% (?)

13. Wounds Colpo4-19% Sling3-21% TVT2% (7% colpo)

14. Others DVT Incisional hernia

15. Voiding TVT1.5-21% Sling7.1-8.3% Colpo3-14.7% TOT2.1-22.6%

16. TVT vs Colpo Catheter beyond 7 days TVT 5% Colpo33%

17. TVT vs Colpo Catheter beyond 6 months TVT 3% Colpo8%

18. Sling vs Colpo Voiding dysfunction leading to surgical revision Colpo0% Sling6%

19. TVT vs TOT TVT 3.4% TOT1.3%

20. Voiding Sling > Burch > TVT > TOT

21. Prediction Bladder capacity Flow rate Voiding pressure (Liverpool Nomogram)

22. treatment Catheter Revision

23. Nerve Injury TVT VS TOT 2 vs 2.3% (numbness) 2.3 vs 7% (weakness) 2.3 vs 2% (pain) (groin pain/‘post colpo- syndrome’)

24. Fistula

28. Mesh problems Vagina Bladder Urethra

29. Vaginal mesh erosion/exposure0.4-5.9% Bladder erosion0-3.3% Urethral erosion? Can develop over several years

30. Suture problems

31. De novo Detrusor overactivity TVT8% Sling16.% Colpo17%

32. prolapse Significant increase in enterocoele/apical prolapse 5 years following colposuspension

33. Sexual dysfunction Limited data

34. THE END