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International Urogynecology Journal

Published in:

01-02-2010 | Original Article

Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures

Authors: Wen-Chun Chang, Bor-Ching Sheu, Su-Cheng Huang, Meng-Tzung Wu, Wen-Chiung Hsu, Li-Yun Chou, Daw-Yuan Chang

Published in: International Urogynecology Journal | Issue 2/2010

Abstract

Introduction and hypothesis

The purpose of the study was to evaluate the efficacy of postoperative transvaginal tape mobilization (TM) in treating urinary retention after tension-free vaginal tape (TVT) procedures.

Methods

A 3-0 Vicryl loop was made at the midpoint of the vaginal tape for tension adjustment. If urinary retention occurred postoperatively, TM was applied in the ward under local anesthesia. The TM procedure could be repeated until the patient voided well.

Results

Of the 80 women, five (6.3%) patients who had to void with extreme strain or with urinary retention received TM on postoperative days 1∼3. It was successful immediately in four patients, and only one patient required repeated adjustment three times. None of these five patients had recurrent stress urinary incontinence (SUI) after tensioning off of the tape. Overall, 67 patients (84%) had been cured of SUI, and 13 (16%) patients had improvement of SUI 3 months after TVT operation.

Conclusion

TM is efficacious in treating voiding difficulty after the TVT procedure.

Ulmsten U (2001) The basic understanding and clinical results of tension-free vaginal tape for stress urinary incontinence. Urology 40:269–273

Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S5–S8CrossRefPubMed

Rardin CR, Rosenblatt PL, Kohli N, Miklos JR, Heit M, Lucente VR (2002) Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 100:898–902CrossRefPubMed

Tamussino K, Hanzal E, Kolle D, Ralph G, Riss P (2001) The Austrian tension-free vaginal tape registry. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S28–S29CrossRefPubMed

Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58:697–701CrossRefPubMed

Karram MM, Segal JL, Vassallo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101:929–932CrossRefPubMed

Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331CrossRefPubMed

Vervest HA, Bisseling TM, Heintz AP, Schraffordt Koops SE (2007) The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J Pelvic Floor Dysfunct 18:173–182PubMed

Mishra VC, Mishra N, Karim OM, Motiwala HG (2005) Voiding dysfunction after tension-free vaginal tape: a conservative approach is often successful. Int Urogynecol J Pelvic Floor Dysfunct 16:210–214 discussion 4CrossRefPubMed

10.

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–85 discussion 5–6CrossRefPubMed

11.

Cetinel B, Demirkesen O (2005) Risk factors influencing the complication rates of tension-free vaginal tape-type procedures. Curr Opin Obstet Gynecol 17:530–534CrossRefPubMed

12.

Hong B, Park S, Kim HS, Choo MS (2003) Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary incontinence. J Urol 170:852–856CrossRefPubMed

13.

Minassian VA, Al-Badr A, Drutz HP, Lovatsis D (2004) Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction? Int Urogynecol J Pelvic Floor Dysfunct 15:183–187CrossRefPubMed

14.

Wang KH, Wang KH, Neimark M, Davila GW (2002) Voiding dysfunction following TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct 13:353–357 discussion 8CrossRefPubMed

15.

Ghoniem G, Shaaban A (1994) Sub-urethral slings for the treatment of stress incontinence. Int Urogynecol J 5:228–239CrossRef

16.

Nguyen JN (2005) Tape mobilization for urinary retention after tension-free vaginal tape procedures. Urology 66:523–526CrossRefPubMed

17.

Glavind K, Glavind E (2007) Treatment of prolonged voiding dysfunction after tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 86:357–360CrossRefPubMed

18.

Murphy M, Culligan PJ, Arce CM, Graham CA, Blackwell L, Heit MH (2005) Is the cough-stress test necessary when placing the tension-free vaginal tape? Obstet Gynecol 105:319–324PubMed

19.

Takacs P, Medina CA (2007) Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct 18:1445–1447CrossRefPubMed

20.

Nichols D, Randall C (1996) Choice of operation for urinary stress incontinence. In: Nichols D, Randall C (eds) Vaginal surgery, 4th edn. Williams & Wilkins, Baltimore, pp 384–421

21.

Maroto JR, Gorraiz MO, Chaparro LP, Bru JJ, Bueno JJ, Lopez CL (2008) Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1109–1116CrossRef

22.

Maroto JR, Gorraiz MO, Bueno JJ, Perez LG, Bru JJ, Chaparro LP (2009) Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct 20:797–805CrossRefPubMed

23.

Vassallo BJ, Kleeman SD, Segal J, Karram MM (2003) Urethral erosion of a tension-free vaginal tape. Obstet Gynecol 101:1055–1058CrossRefPubMed

Title: Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures
Authors: Wen-Chun Chang
Bor-Ching Sheu
Su-Cheng Huang
Meng-Tzung Wu
Wen-Chiung Hsu
Li-Yun Chou
Daw-Yuan Chang
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1016-5

At a glance: The STEP trials

Springer Medicine

Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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