title: Transvaginal tape lysis for urinary obstruction after suburethral tape placement. When to do an immediate replacement?
abstract: To evaluate the interest and the indications of an immediate replacement of a suburethral tape after tape lysis for urinary obstruction is the aim of the study. From 2000 until 2007, a total of 22 patients underwent suburethral tape placement for stress urinary incontinence and developed thereafter a bladder outlet obstruction. These patients had a transvaginal tape lysis under local anesthesia. An immediate replacement of the tape was carried out in those patients who developed leakage under cough provocation test. Twelve patients (group 1) underwent a tape lysis and replacement. Ten patients (group 2) underwent a simple tape lysis. The two groups were demographically comparable. The continence rate was 100% in the two groups. The success rate defined by urodynamics was 75% for the first group and 80% for the second group. The success rate defined by the disappearance of the initial symptoms and improvement of the scores of the questionnaires was 75% for the first group and 90% for the second group.
authors.affiliation: Department of Urology, Strasbourg University Hospital, 1 Place de l'Hôpital, Strasbourg, France. pascal.mouracade@chru-strasbourg.fr
authors.forename: Pascal
authors.initials: P
authors.lastname: Mouracade
authors.forename: Herve
authors.initials: H
authors.lastname: Lang
authors.forename: Didier
authors.initials: D
authors.lastname: Jacqmin
authors.forename: Christian
authors.initials: C
authors.lastname: Saussine
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*