Treatment of voiding dysfunction after transobturator tape procedure.
Voiding dysfunction after mid-urethral sling procedures is uncommon but not completely avoidable. We report on a method to adjust the transobturator mid-urethral sling under local anesthesia in the early postoperative period for postoperative voiding difficulty. At postoperative day 17 and 18, 2 women, who had undergone the transobturator tape procedure for stress incontinence, underwent successful loosening of the mesh through the previous vaginal incision, without the need to transect or remove the tape. Both patients had immediate resolution of their symptoms while maintaining urinary continence.
Ozel
Begüm
B
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, California 90033, USA.
Minaglia
Steven
S
Hurtado
Eric
E
Klutke
Carl G
CG
Klutke
John J
JJ
D000328:Adult; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy*; D014521:Urethra / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014555:Urination Disorders / Q000628:therapy*; D013520:Urologic Surgical Procedures