Transvaginal tape lysis for urinary obstruction after tension-free vaginal tape placement.
OBJECTIVE
We examine the outcome of tape lysis in subjects with obstructive urinary retention after initial tension-free vaginal tape placement.


METHODS
Charts from 109 consecutive subjects who underwent tension-free vaginal tape placement from 1998 to 2001 were retrospectively reviewed. Of the subjects 78 (72%) consented to participation and completion of a questionnaire. All subjects underwent a routine preoperative evaluation before surgery and followup was implemented through 2002. Tape lysis using a standard technique was performed in 5 patients with documented obstructive urinary retention. Subjective assessment by the validated Bristol Lower Urinary Tract Symptoms questionnaire and a postoperative survey characterized perceptions of incontinence, results of initial tension-free vaginal tape placement and outcome of subsequent tape lysis.


RESULTS
The objective incontinence cure rate was 89%. Of the 78 patients 17 (22%) and 21 (27%) experienced transience in either dysuria or incomplete bladder emptying, respectively. Transection for obstructive urinary retention was successfully accomplished in 5 subjects with 4 (80%) remaining continent.


CONCLUSIONS
Tape lysis is simple and effective for relieving obstruction, and is not associated with a high rate of recurrent stress urinary incontinence.
Croak
Andrew J
AJ
Department of Obstetrics and Gynecology, Section of Urogynecology and Reconstructive Pelvic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Schulte
Valerie
V
Peron
Salvador
S
Klingele
Christopher
C
Gebhart
John
J
Lee
Raymond
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects*; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology / Q000601:surgery*