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

Chang, Wen‐Chun; Sheu, Bor‐Ching; Huang, Su‐Cheng; Wu, Meng-Tzung; Hsu, Wen-Chiung; Chou, Li-Yun; Chang, Daw-Yuan

doi:10.1007/s00192-009-1016-5

Cited by 11 publications

(13 citation statements)

References 19 publications

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“…Tape mobilization was done in the operating room under local/analgosedation and a single injection of antibiotics (ceftriaxone 2 g) was administered. The procedure continued as follows: (1) reopen the sub‐urethral incision in the vagina, locate the tape, and with one laterally placed clamp gently pull down the tape to the desired location while using a second clamp to help control the extent of the downward movement of the first clamp (Fig. ).…”

Section: Methodsmentioning

confidence: 99%

“…With a rate of approximately 1.6–26%, voiding dysfunction is the most commonly experienced postoperative complication . Development of this type of complication is due, in part, to the challenge faced by the operating physician to achieve continence through an adequately supportive tape without causing urinary retention by inserting the tape too tightly …”

Section: Introductionmentioning

confidence: 99%

“…Tape mobilization, also referred to as tape loosening, is one effective approach to addressing complications from a tape with too much tension. The primary objective of this procedure is to adjust the tape to a more desirable tension level . Widely available technology such as ultrasonography is also being used in the management of postoperative tape complications .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound and early tape mobilization—A practical solution for treating postoperative voiding dysfunction

Rautenberg

Kociszewski

Welter

et al. 2013

Neurourology and Urodynamics

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound and early tape mobilization—A practical solution for treating postoperative voiding dysfunction

Rautenberg

Kociszewski

Welter

et al. 2013

Neurourology and Urodynamics

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“…Recently, published articles similarly illustrate restoration of normal voiding in up to 96 % of individuals without vast compromise in most patients' continence [36][37][38]. In anticipation of sling loosening, Chang et al has described a technique of placing 3-0 vicryl suture loop along the midpoint of the tape, leaving at least 3 cm of suture for later use in further manipulation of the sling [39].…”

Section: Managementmentioning

confidence: 96%

Bladder Outlet Obstruction After Incontinence Surgery

Brucker

Malacarne

2016

Curr Bladder Dysfunct Rep

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Stress urinary incontinence (SUI) is said to effect up to 80 % of all women who complain of some type of urinary leakage. As education about the diagnosis and treatment of SUI becomes more widespread, there is a need for understanding the efficacy and potential complications of the therapies used to treat this condition. It is widely accepted that the gold standard for treatment of SUI is mid-urethral sling (MUS). One significant complication of the MUS procedure is subsequent bladder outlet obstruction (BOO). We review the incidence and etiology of BOO following MUS and hope this document can be used as a guide for identifying patients who may be affected by postsurgical BOO. Additionally, we discuss modalities for achieving a timely and accurate diagnosis and highlight recent evidence regarding the various applications of urodynamic studies, when concerned for BOO. Lastly, various managements of this complication are discussed. This chapter serves as a comprehensive overview of BOO after incontinence procedures, highlighting the recent research contributions, which have enhanced our understanding of this potential complication when treating SUI.

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“…Voiding dysfunction is reported between 4% and 7% depending on the tape used [8]. Sling loosening can be performed within 7–10 days after surgery with low complication rates and high success rates in terms of SUI [9–12]. Spontaneous resolution may occur up to 6 weeks [13]; for persistent voiding dysfunction beyond this, a formal transvaginal sling lysis or removal is necessary due to fibroblast invasion [7].…”

Section: Introductionmentioning

confidence: 99%

Quality of life and objective outcome assessment in women with tape division after surgery for stress urinary incontinence

et al. 2017

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BackgroundMidurethral tapes may cause long-term complications such as voiding dysfunction, groin pain, de novo urgency or mesh erosion, which necessitate a reoperation. There is a paucity of data regarding health related quality of life in patients undergoing tape removal. The aim of the study was to evaluate quality of life (QoL) and objective outcome after midurethral tape division or excision.MethodsAll patients who underwent a midurethral tape division for voiding difficulties, pain or therapy resistant de novo overactive bladder between 1999 and 2014 were invited for follow-up. A control group with a suburethral tape without division was established in a 1:2 ratio and matched for age, tape used and year of tape insertion. Patients completed the Kings´ Health Questionnaire (KHQ), Incontinence Outcome Questionnaire, Female Sexual Function Index Questionnaire and the Patient Global Impression of Improvement score.ResultsTape division or excision was performed in 32 women. Overall, 15 (60%) of 25 women who were alive were available for clinical examination and completed the questionnaires. Tape division was performed for voiding dysfunction (n = 7), overactive bladder (n = 2), mesh extrusion (n = 3) and ongoing pain (n = 3). Median time to tape division/excision was 10 months. Three women in the tape division group had undergone reoperation for stress urinary incontinence (SUI). At a median follow-up of 11 years (IQR 9–13) subjective SUI rate was 53% (8/15 women) in the tape division group and 17% (5/30) in the control group (p = 0.016), with no significant differences in objective SUI rates between groups. With regard to quality of life, the study group had significantly worse scores in the SUI related domains role limitation, physical limitation, severity measures and social limitations (KHQ) compared to the control group.ConclusionsWomen needing tape division or excision have lower SUI related QoL scores compared to controls mostly because of higher subjective SUI rates.

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

Abstract: TM is efficacious in treating voiding difficulty after the TVT procedure.

Cited by 11 publications

References 19 publications

Ultrasound and early tape mobilization—A practical solution for treating postoperative voiding dysfunction

Ultrasound and early tape mobilization—A practical solution for treating postoperative voiding dysfunction

Bladder Outlet Obstruction After Incontinence Surgery

Quality of life and objective outcome assessment in women with tape division after surgery for stress urinary incontinence

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