Complications Of Tension-free Vaginal Tape Research Articles

Post Tension-free Vaginal Tape Voiding Difficulties

One of the frequent complications of tension-free vaginal tape (TVT) is postoperative urinary retention. Over-tight tape is the main cause of early postoperative urinary obstruction. Prevention and early correction of this complication may shorten rehabilitation and improve therapeutic results. Three recurring factors might have led to the postoperative urinary obstruction by overcorrection of the mid urethra: concomitant performing of anterior colporrhaphy; excessive effort applied to overcome occasional difficulties in separating the plastic TVT sleeves; use of the cough method for fine adjustment of the TVT tape. Ten women suffering from post TVT urinary retention are presented: 6 women with mild urinary retention were managed by repeated catheterizations of the bladder, while 4 women with severe postoperative urinary obstruction were treated surgically to release the tape. Since treatment all patients are voiding normally and continent. A new surgical approach for treatment of complete urinary obstruction after the TVT operation is described.

Non-Oral Poster 120: Complications of Tension-free Vaginal Tape (TVT): A Review of the FDA Manufacturer and User Facility Device Experience (MAUDE) Database and the Literature

Non-Oral Poster 120: Complications of Tension-free Vaginal Tape (TVT): A Review of the FDA Manufacturer and User Facility Device Experience (MAUDE) Database and the Literature

Results and complications of tension-free vaginal tape (TVT) for surgical treatment of female stress urinary incontinence.

Thirty-one patients with stress urinary incontinence were operated on using tension-free vaginal tape (TVT). All were evaluated preoperatively with urodynamics, pad test and stress test. Conservative treatment was without significant effect. Three months after the operation no patients had stress incontinence but I with mixed incontinence experienced deterioration of her urge incontinence and 2 experienced de novo urge incontinence. The de novo urge incontinence was significantly improved and the urodynamic investigation normal after approximately 5 months. One patient with a previous operation with Kelly sutures under the urethra developed a urethrovaginal fistula. Fifteen patients were observed for 1 year. One patient who was continent after 3 months developed slight stress incontinence.