Persistent urinary retention after tension-free vaginal tape: a new surgical solution.
The most common post-operative problems seen with the tension-free vaginal tape (TVT) are voiding difficulties. A small subset of patients develops persistent urinary retention, often associated with vaginal pain and dyspareunia. We describe a surgical solution to these complications that involves cutting of the prolene sling just below the urethra and individualised prologation with an additional piece of prolene-mesh.
Zubke
Wolfgang
W
Department of Gynecology and Obstetrics, Tübingen University Hospital Center, Calwerstr. 7, 72076 Tuebingen, Germany. wolfgang.zubke@med.uni-tuebingen.de
Becker
Sven
S
Krämer
Bernhard
B
Wallwiener
Diethelm
D
D000368:Aged; D000369:Aged, 80 and over; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain; D011183:Postoperative Complications; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina