Study design, materials and methods
A review and analysis of the logbook, theatre log and multidisciplinary team (MDT) discussion identified those patients who underwent surgical management of International Continence Society(ICS)/International Urogynaecological Association (IUGA) category 4 complications (urinary tract). The other ICS/IUGA complication classifications were assessed including presentation of complication, surgery used for treatment and post-operative outcomes. Information based on original indication for surgery, surgeons involved, the type of complication and their presentation were all recorded. The subsequent treatment for the complications and the outcomes of these treatments have been assessed and recorded and as well as quality of life indicators.
Interpretation of results
The number of cases of urological complications from synthetic sling insertion are rising and this snapshot only captures work from the last two years from an experienced urologist began a new practice within this particular centre. Given the complexity of the surgery and that the most successful outcomes are achieved by surgical management, cases should be managed centrally.