Complications and untoward effects of the tension-free vaginal tape procedure

Karram, Mickey M.; Segal, Jeffrey L.; Vassallo, Brett J.; Kleeman, Steven D.

doi:10.1016/s0029-7844(03)00122-4

Cited by 235 publications

(130 citation statements)

References 10 publications

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“…In the literature there exists a wide range of the frequency of micturition disturbances from 1 to 26% [9,16,17,18] because of different definitions. In one study [19], the rate of subjective voiding dysfunction was even 60%.…”

Section: Discussionmentioning

confidence: 99%

“…In the starting years of TVT, several colleagues attempted to release the sling with a bougie intraurethrally [9,26]. The benefit of this method was never examined in studies, and secondary penetrations of the sling into the urethra occurred.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, frequent problems after the TVT procedure are voiding dysfunctions, from mild changes in micturition to urine retention. We found conflicting publications about this complication and the value of different types of management [7,8,9,10,11,12,13,14]. The aim of this prospective observational study is to investigate the frequency and degree of voiding dysfunction and their appropriate management.…”

Section: Introductionmentioning

confidence: 99%

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Voiding Dysfunction after the Tension-Free Vaginal Tape Procedure

Reich

Kohorst²,

Flock³

2011

Gynecol Obstet Invest

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Aim: To assess the incidence of voiding dysfunction in women undergoing a tension-free vaginal tape (TVT) procedure and report our experience with nonsurgical and surgical management. Methods: Pre- and postoperative introital ultrasonographic measurement of the residual volume was performed in a prospective observational study. Patients’ perception of micturition and continence status was assessed by questionnaire. Results: Of 478 women, 4 (0.8%) suffered from micturition disturbance within the first 2 weeks. In the mean of 3 months after surgery, 7.1% of the patients had residual volume between 50 and 100 ml, and 2.6% had residual volume >100 ml. 243 women were investigated after 39 months (range 12–74). The rate of residual volume exceeding 50 ml decreased to 6.5% and was approximated to the preoperative period. Conclusion: Incomplete bladder emptying is a possible problem after TVT. In our cohort, 93% of the women had no voiding disturbances or marginally affected voiding after 12–74 months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Voiding Dysfunction after the Tension-Free Vaginal Tape Procedure

Reich

Kohorst²,

Flock³

2011

Gynecol Obstet Invest

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“…CISC is performed three or four times daily until the residual decreases to less than 100 ml, or at most 50% of the voided volume (37). Although several reports have shown some benefit with urethral dilatation (17,38), recent reports have proven urethral dilation to be ineffective in most patients with urethral obstruction after TVT procedures. Additionally, repeated urethral dilation may predispose to the development urethral erosion and could induce scarring of the urethra (24,39,40).…”

Section: Conservative Treatmentmentioning

confidence: 99%

Evaluation and management of voiding dysfunction after midurethral sling procedures

Çelik

Harmanli

2012

J Turkish German Gynecol Assoc

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“…This procedure is associated with complications such as bladder perforation, excessive bleeding, tape erosion, nerve damage and haematoma formation [1]. An alternative is the transobturator tape (TOT) procedure.…”

Section: Introductionmentioning

confidence: 99%

An early complication of Transobturator tape: Non-infective adductor internus myositis

Lucky¹,

Irwin²,

Bicha³

2012

OJOG

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The transobturator tape (TOT) procedure is generally felt to be a safer surgical alternative to the tension-free vaginal tape procedure for women with stress urinary incontinence. We report a case of adductor internus myositis not associated with infection following the TOT procedure. To our knowledge this is the first case of this type reported in the literature. A 43 year old lady underwent a straightforward elective TOT procedure. There were no intraoperative complications. Immediately following the procedure she complained of pain in her right thigh. MRI confirmed abnormal oedema within the antero-inferior aspect of the right obturator internus muscle consistent with myositis secondary to tape insertion. The tape was removed the following day in theatre, following which her pain resolved. This case highlights a previously unreported complication as a result of the TOT procedure.

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Complications and untoward effects of the tension-free vaginal tape procedure

Abstract: The TVT procedure is efficacious for the correction of stress incontinence. Our data show that it is a safe procedure with an acceptable complication rate when performed by surgeons who have experience with retropubic and transvaginal antiincontinence procedures.

Cited by 235 publications

References 10 publications

Voiding Dysfunction after the Tension-Free Vaginal Tape Procedure

Voiding Dysfunction after the Tension-Free Vaginal Tape Procedure

Evaluation and management of voiding dysfunction after midurethral sling procedures

An early complication of Transobturator tape: Non-infective adductor internus myositis

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