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


CONCLUSIONS
TM is efficacious in treating voiding difficulty after the TVT procedure.
Chang
Wen-Chun
WC
Department of Obstetrics and Gynecology, National Taiwan University Hospital, College of Medicine, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, Taiwan.
Sheu
Bor-Ching
BC
Huang
Su-Cheng
SC
Wu
Meng-Tzung
MT
Hsu
Wen-Chiung
WC
Chou
Li-Yun
LY
Chang
Daw-Yuan
DY
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology / Q000517:prevention & control*