tomus
Simone Fertel
Created on April 30, 2024
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Transcript
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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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