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Double opposite tape incision for obstructive sling.

Cássio L Z Riccetto1, Arnold Peter Paul Achermann2,3,4, Ivan B Selegatto2

  • 1Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil. cassioriccetto@gmail.com.

International Urogynecology Journal
|April 11, 2022
PubMed
Summary

A new surgical technique, the double opposite tape incision, effectively treats urethral obstruction after mid-urethral sling (MUS) surgery, restoring urinary continence. This method offers a potential solution for women experiencing complications from MUS procedures.

Keywords:
Bladder outlet obstructionDouble opposite tape incisionMidurethral slingStress urinary incontinence

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Area of Science:

  • Urology
  • Gynecology
  • Female Pelvic Medicine

Background:

  • Stress urinary incontinence (SUI) affects a significant portion of adult women, with mid-urethral sling (MUS) procedures being a common treatment.
  • While effective, MUS can lead to complications such as urethral obstruction and acute urinary retention.
  • Current management options for these complications are limited.

Observation:

  • This study details a novel surgical approach for a patient experiencing acute urinary retention post-MUS.
  • A double opposite tape incision was performed via a "U"-shaped inverted incision at the anterior vaginal wall.
  • The procedure aimed to release urethral obstruction while maintaining urinary continence.

Findings:

  • The patient achieved urinary continence within 1 week of the double opposite tape incision.
  • Full recovery, including resumption of physical activities and sexual intercourse, occurred by 6 weeks.
  • At 3-month follow-up, the patient reported sustained satisfaction and no recurrence of urine leakage.

Implications:

  • The double opposite tape incision appears to be a feasible and effective technique for addressing urethral obstruction following MUS.
  • This approach may offer a valuable alternative for managing MUS-related complications.
  • Further comparative studies are warranted to validate its efficacy against existing treatments.