tomus

Houseof cardsQuiz

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Bladder perforation

Vascular injury

A

C

B

Groin pain

Adverse events specific to retropubic MUS include the following except:

1

A

C

B

The Trial of Midurethral Slings (TOMUS):

Compared retropubic slings vs Burch

Had an equivalent 12 month objective objective success rate between the two groups

Followed women 10 years after surgery

2

A

C

B

The two year follow up was a survey for patients 24 months after the sling surgery. This survey revealed:

In 24 months, only 15% had experienced at least 1 adverse event.

The most common serious adverse event was intraop vaginal perforation and bladder perforation

3

The most common adverse event was pain.

A

C

B

The TOMUS trial was a:

Prospective cohort study

Study that measured equivalence

Treatment success was deemed as subjecctive success rate only

4

A

C

B

The objective success rates between retropubic and transobturator slings were:

81 vs 78% respectively

85 vs 60% respecivetly

10 vs 50% respectively

5

A

C

B

In the TOMUS trial, there were no significant differences between groups in:

voiding dysfunction requiring surgery

patient satisfaction

neurologic symptoms

6

A

C

B

These complications occurred only during retropubic sling placement and not the other group, except:

bladder perforation

voiding dysfunction requiring surgery

vaginal perforations

7

A

C

B

The most common neurologic symptoms reported in this study was:

upper leg numbness

upper leg weakness

lower leg numbness

8

A

C

B

The overall number of serious adverse events were most common in which group?

similar in both groups

transobturator sling

retropubic sling

9

A

C

B

In summary,

Subjective success rates were higher in retropubic group

Rates of objective success were higher in retropubic group

Complications between two groups differ

10

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