The benefit of early mobilisation of tension-free vaginal tape in the treatment of post-operative voiding dysfunction

• DOI: 10.1007/s00192-009-0858-1
• Publication Date: 2009-03-18T10:02:17Z
• Authors: Natalia Price; Alex Slack; Su-Yen Khong; Ian Currie; Simon Jackson
• Keywords: Postoperative Care; Reoperation; Suburethral Slings; Urinary Incontinence, Stress; Urination Disorders; Urinary Bladder Neck Obstruction; 03 medical and health sciences; Gynecologic Surgical Procedures; Treatment Outcome; 0302 clinical medicine; Humans; Female; Retrospective Studies

The aim of this study was to assess the outcome of early mobilisation of tension-free vaginal tape (TVT) in cases of post-operative voiding dysfunction.Thirty-three consecutive cases of early mobilisation of TVT to treat post-operative voiding dysfunction were analysed retrospectively. In each case, the TVT was mobilised and loosened without dividing it, under general anaesthesia, within 2 weeks after the original procedure.Voiding function subsequently returned to normal in 29 out of 33 women with no recurrence of original stress incontinence. The four remaining women had the tape divided.The study shows that early mobilisation of the TVT allows rapid resolution of post-operative voiding dysfunction without compromising the outcome of the original continence procedure.