Reoperation After Complicated Tension-Free Vaginal Tape Procedures

Wyczółkowski, Marek; Klima, Wlodzimierz J.; Piasecki, Z

doi:10.1016/s0022-5347(05)65896-x

Cited by 20 publications

(13 citation statements)

References 2 publications

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“…In such cases solving the problem postoperatively may be difficult. An open operation to excise the tape has been described recently [6]. In our series, missed cases were not found since cystoscopy was done until the tape was brought up to the abdominal incision.…”

Section: Discussionmentioning

confidence: 73%

“…Usually, cystoscopic examination during surgery reveals the perforation and allows reorientation of the needle. Bladder injury was mainly associated with uncomplicated/uneventful events since leaving the (1) a Of 177 patients 3 with stress urinary incontinence without urgency and/or urge incontinence a Excessive bleeding was defined as blood loss >200 ml in Kuuva and Nilsson [2], blood loss >500 ml in Meschia et al [6], and subjective assessment of the amount of bleeding in Karram et al [10] b Urinary retention was defined as complete urinary retention in Kuuva and Nilsson [2], the need for intermittent catheterization for at least 3 days after the procedure in Hong et al [9], and residual urine volume of >100 ml twice consecutively or failing to void in the present series bladder catheter indwelling for a few days permitted the bladder to heal without consequences. In our recent experience, leaving the bladder catheter indwelling for 1 day permits the bladder to heal without consequences.…”

Section: Discussionmentioning

confidence: 99%

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Complications associated with the tension-free vaginal tape procedure: the Korean experience

Paick

Shin

et al. 2004

Int Urogynecol J

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The object was to assess the incidence of complications in patients who had undergone the tension-free vaginal tape procedure and their management. A total of 274 women 28-80 years old (mean: 55.1) with a minimum follow-up of 6 months were included in the study. Follow-up evaluation included questionnaire assessment, physical examination with a stress test, uroflowmetry and postvoid residual urine measurement. Bladder perforations were noted in 13 (4.7%). Thirty-eight patients (13.9%) had postvoid residual urine volume >100 ml twice consecutively or failed to void. Twenty-three women had resolution of their voiding dysfunction with intermittent catheterization. Fourteen patients underwent urethral dilatation and four subsequently underwent a release and/or cutting of the tape. Fifty-seven patients (20.8%) had other voiding problems, but a normal voiding pattern was achieved spontaneously in 34. Fourteen women have shown resolution of their voiding symptoms after urethral dilatation. The present study demonstrates that the tension-free vaginal tape procedure is a safe technique for the treatment of female urinary incontinence. In addition, our findings suggest that there may be a role for urethral dilatation in the management of voiding difficulty associated with the procedure.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Complications associated with the tension-free vaginal tape procedure: the Korean experience

Paick

Shin

et al. 2004

Int Urogynecol J

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“…Although TVT procedure is simple and minimally invasive procedure there are many serious complications such as bowel perforation, retropubic hematoma, venous injury, and tape erosion [3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Bladder erosion of tension-free vaginal tape presented as vesical stone; management and review of literature

Mustafa¹,

Wadie

2007

Int Urol Nephrol

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The vesical stone formation due to intravesical mesh erosion of tension-free vaginal tape (TVT) is rare. In this report, a case of 48-year-old patient who underwent (TVT) elsewhere is discussed. The patient was presented with vesical stone and persistent stress urinary incontinence. Intravesical stone was detected by non-contrast computed tomography and cystourethroscopy. Stone fragmentation was done by pneumatic lithotripsy and transurethral resection of the mesh was performed. The postoperative control cystoscopy demonstrated complete healing of bladder mucosa.

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“…Ainsi, la plupart des auteurs concluent à l'impossibilité de réséquer la bandelette par voie cystoscopique seule en cas d'érosion vésicale [14,[16][17][18][19][20].…”

Section: Exposition Prothe´tique Et E´rosion Ve´sicaleunclassified

Prise en charge des complications urinaires survenant après mise en place d’une bandelette sous-urétrale

et al. 2006

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Introduction : Les complications urinaires des bandelettes sous-urétrales sont fréquentes et leur prise en charge reste discutée.Matériel et méthode : Revue de la littérature sur Medline/PubMed afin d'établir quels sont les facteurs à l'origine de ces complications et déterminer quelle doit être leur prise en charge.Re´sultats : Les érosions vésicales imposent une résection paravésicale de la bandelette érodée. Celle-ci nécessite un abord mixte cystoscopique et abdominal. Les érosions urétrales (0,07 % à 1,5 %) posent un problème différent, car la résection de la bandelette nécessite une urétrolyse qui entraîne une réapparition des fuites dans 66 % des cas.Les complications obstructives sont très fréquentes. La littérature rapporte en moyenne 15 % de rétention (de 6 à 45 %), et entre 4 et 78 % des patientes déclarent avoir des difficultés mictionnelles après l'intervention. En cas de rétention complète de plus de 2 jours, une reprise chirurgicale rapide est indiquée. Celle-ci permet une disparition immédiate des symptômes obstructifs, sans altération importante des résultats en termes de continence, avec moins de 30 % de récidive de l'incontinence urinaire.Mots clés : Incontinence urinaire -Tension-free vaginal tape -Bandelette sous-urétrale -ComplicationsRétention urinaire Management of urinary complications associated with suburethral sling procedure Abstract: Introduction: Urinary complications following suburethral sling procedures are common, and management of these complications is still discussed.Methods: The literature available on Medline/PubMed, relating to urinary complications associated with suburethral sling procedures, was reviewed.Results: Bladder erosion is rare, requiring resection of the mesh with a combined abdominal and cystoscopic approach. Urethral mesh erosion (0.07% to 1.5%) also requires surgical sling removal, but few patients remain continent because this removal requires a large urethrolysis (recurrence rate of incontinence is 66% following removal of the sling).Bladder outlet obstruction occurs frequently after suburethral procedures. The literature reports an average of 15% of cases of bladder outlet obstruction (from 6% to 45%), and between 4% and 78% of patients indicate urinary difficulties after the operation. When complete obstruction is clinically evident 2 days after a suburethral sling procedure, immediate reintervention is performed with a rapid return to normal voiding. Recurrence rate of stress incontinence is less than 30% following reintervention.

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Reoperation After Complicated Tension-Free Vaginal Tape Procedures

Cited by 20 publications

References 2 publications

Complications associated with the tension-free vaginal tape procedure: the Korean experience

Complications associated with the tension-free vaginal tape procedure: the Korean experience

Bladder erosion of tension-free vaginal tape presented as vesical stone; management and review of literature

Prise en charge des complications urinaires survenant après mise en place d’une bandelette sous-urétrale

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