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Treatment of voiding dysfunction after transobturator tape procedure
Begüm Ozel1, Steven Minaglia, Eric Hurtado
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, California 90033, USA.
Urology
|November 10, 2004
Summary
Postoperative voiding difficulty after mid-urethral sling procedures can be treated by loosening the transobturator tape under local anesthesia. This early adjustment resolves symptoms while maintaining continence.
Area of Science:
- Urology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Mid-urethral sling procedures are common for stress urinary incontinence.
- Voiding dysfunction is an uncommon but recognized complication.
Observation:
- Two women experienced voiding difficulty after transobturator tape surgery.
- Symptoms persisted into the early postoperative period.
Findings:
- A minimally invasive adjustment procedure was performed under local anesthesia.
- Loosening the transobturator tape through the vaginal incision resolved voiding difficulty.
- No need for tape transection or removal was required.
Implications:
- This technique offers a viable solution for early postoperative voiding dysfunction.
- It allows for symptom resolution while preserving the efficacy of the sling procedure.
- This approach may reduce the need for more invasive interventions.