Cristian Cicconetti1;
Pietro Saldutto1; Daniele Castellani1; Vikiela Galica1; Daniela Biferi1; Giovanni Giovanditti1; Giuseppe Paradiso Galatioto1; Carlo Vicentini1.
1 Department of Health Science, University of L'Aquila, Teramo Hospital, Italy

Topic: Stress urinary incontinence.
Severe and life-threatening bleeding has been reported in the literature after retropubic mid-urethral slings procedure, due to corona mortis (CMOR) damage. The aim of this study is to evaluated safety of transobturator passage of the tape in stress-urinary incontinence (SUI) correction and anchoring the mesh in pelvic.-organ prolapse (POP) repair in the presence of CMOR                                                                                                       
Materials and Methods.
Thirteen woman with a pre-operatory contrast-enhanced abdominal multidetector computed tomography were prospectively enrolled in the study between January 2009 and December 2014. Eight woman underwent a Monarc® and one a Spark® Sling System procedures for SUI correction, and three an Elevate® Anterior and Apical prolapse system and one a Perigee procedure to repair anterior/apical POP. All procedures were performed by single experienced pelvic surgeon (C.V.).                                                                                            
Results. Surgery was uneventful in all cases. No mayor bleeding was seen during surgery. No pelvic hematoma was identified 24-hours after the procedure. All woman were discharged one-day after surgery.                                                                                                                              
Our study confirms that transoburator surgery is a safe procedure to correct SUI and repair POP regarding serious and life-threatening bleeding, even in presence of CMOR.

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