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Urinary incontinence and vaginal prolapse are well known adverse effects that develop with high frequency a very long time after the surgery. Typically, those complications develop 10–20 years after the surgery. [36] For this reason exact numbers are not known, and risk factors are poorly understood.
Subsequent surgeries can be directly or indirectly relating to the primary surgery. [13] Prolapse can occur at a different site in the vagina. Further surgery after the initial repair can be to treat complications of mesh displacement, pain, or bleeding. Further surgery may be needed to treat incontinence. [13]
Urinary retention in females is uncommon, occurring 1 in 100,000 every year, with a female-to-male incidence rate of 1:13. It is usually transient. The causes of UR in women can be multi-factorial, and can be postoperative and postpartum. Prompt urethral catheterization usually resolves the problem. [17]
Stress urinary incontinence is the other common type of incontinence in men, and it most commonly happens after prostate surgery. [19] Prostatectomy , transurethral resection of the prostate , prostate brachytherapy , and radiotherapy can all damage the urethral sphincter and surrounding tissue, causing it to be incompetent.
However, after this endoscopic surgery the ejaculations are dry in about 65% of patients, unless a novel, ejaculation preserving, altered technique of TURP is applied. [1] [2] Simple prostatectomy can also be offered to men who have large prostates (>50 grams). This can be done by open technique, laparoscopically, or with robotic assistance. [3]
Other complications can include increased urgency and frequency of urination, blood in the urine, leakage of urine, pain in the kidney, bladder, or groin, and pain in the kidneys during, and for a short time after urination. [3] These effects are generally temporary and disappear with the removal of the stent.
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