Open AccessTreatment of prolonged voiding dysfunction after tension‐free vaginal tape procedure
Author(s) -
GLAVIND KARIN,
GLAVIND EMILIE
Publication year - 2007
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340601124227
Subject(s) - medicine , surgery , urinary incontinence , urge incontinence , stress incontinence , vagina , anesthesia
Background. No consensus on the proper treatment of prolonged voiding dysfunction after incontinence operations exists. We, therefore, evaluated the treatment of this problem. Methods. We reviewed all 143 patients who underwent a tension‐free vaginal tape procedure (TVT) between April 1998 and June 2005. Prolonged voiding dysfunction was defined as the need to perform intermittent catheterisation for more than 1–2 weeks, and a subjective feeling of incomplete emptying. Results. Ten patients (7%) with prolonged voiding difficulties were encountered. In 5 patients (50%) the tape was pulled down. This was performed after 1 week (1 patient), 2 weeks (2 patients) and 3 weeks (2 patients). All these patients were cured of their voiding dysfunction and remained dry. In 2 patients, the tape was cut after 5 and 7 months. Both patients were cured of their voiding difficulties, but had recurrent stress incontinence. Three patients performed clean intermittent catheterisation for a period of 5 weeks, 7 months and 9 months, and some degree of prolonged voiding and/or urgency persisted in all three patients. Conclusion. The patients with voiding difficulties after TVT should be followed closely for the first 1–2 weeks, and pulling the tape down should be carried out if the voiding dysfunction persists.