Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures
| Autor: | Wen-Chun Chang, Wen-Chiung Hsu, Meng-Tzung Wu, Su-Cheng Huang, Daw-Yuan Chang, Bor-Ching Sheu, Li-Yun Chou |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty VOIDING DIFFICULTY Urinary Incontinence Stress Urology education Treatment outcome Urinary incontinence Gynecologic surgical procedures Gynecologic Surgical Procedures medicine Humans Aged Retrospective Studies Aged 80 and over Suburethral Slings Mobilization business.industry Urinary retention Tension free vaginal tape Obstetrics and Gynecology Retrospective cohort study Middle Aged Urinary Retention Surgery Treatment Outcome Female medicine.symptom business |
| Zdroj: | International Urogynecology Journal. 21:229-233 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-009-1016-5 |
| Popis: | 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.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.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.TM is efficacious in treating voiding difficulty after the TVT procedure. |
| Databáze: | OpenAIRE |
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