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

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Paick, Jae-Seung; Ku, Ja Hyeon; Shin, Jae Wook; Oh, Seung-June; Kim, Soo Woong
Issue Date
Springer Verlag
Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):215-9. Epub 2004 Oct 26.
AdultAgedDilatation, PathologicFemaleFollow-Up StudiesHumansIncidenceKoreaMiddle AgedPostoperative Complications/epidemiology/*etiologySurgical MeshSurgical Procedures, Minimally Invasive/methodsTissue AdhesivesTreatment OutcomeUrinary Incontinence, Stress/*surgeryUrologic Surgical Procedures/*adverse effects/methodsVagina/*surgery
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.
0937-3462 (Print)
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College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
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