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Complications associated with the tension-free vaginal tape procedure: the Korean experience
Cited 11 time in
Web of Science
Cited 19 time in Scopus
- Authors
- Issue Date
- 2005-04-06
- Publisher
- Springer Verlag
- Citation
- Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):215-9. Epub 2004 Oct 26.
- Keywords
- Adult ; Aged ; Dilatation, Pathologic ; Female ; Follow-Up Studies ; Humans ; Incidence ; Korea ; Middle Aged ; Postoperative Complications/epidemiology/*etiology ; Surgical Mesh ; Surgical Procedures, Minimally Invasive/methods ; Tissue Adhesives ; Treatment Outcome ; Urinary Incontinence, Stress/*surgery ; Urologic Surgical Procedures/*adverse effects/methods ; Vagina/*surgery
- Abstract
- 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.
- ISSN
- 0937-3462 (Print)
- Language
- English
- URI
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15875237
https://hdl.handle.net/10371/15277
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