Ultrasound and early tape mobilization-A practical solution for treating postoperative voiding dysfunction

Aims This study assessed the effectiveness of ultrasound in determining tape distance to urethra and the impact of early tape mobilization on outcomes in women with postoperative voiding dysfunction resulting from a too tightly positioned tension‐free vaginal tape (TVT). Methods A prospective observ...

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Published in:Neurourology and urodynamics 2014-09, Vol.33 (7), p.1147-1151
Main Authors: Rautenberg, Oliver, Kociszewski, Jacek, Welter, JoEllen, Kuszka, Andrzej, Eberhard, Jakob, Viereck, Volker
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Humans
Middle Aged
obstructive voiding dysfunction
pelvic floor ultrasound
Postoperative Complications - diagnosis
Postoperative Complications - diagnostic imaging
Postoperative Period
Prospective Studies
stress urinary incontinence
Suburethral Slings
surgical complications
tape mobilization
Treatment Outcome
Ultrasonography
Urethra - diagnostic imaging
Urethra - physiopathology
Urethra - surgery
Urinary Incontinence, Stress - diagnostic imaging
Urinary Incontinence, Stress - physiopathology
Urinary Incontinence, Stress - surgery
urinary retention
Urodynamics
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Summary:Aims This study assessed the effectiveness of ultrasound in determining tape distance to urethra and the impact of early tape mobilization on outcomes in women with postoperative voiding dysfunction resulting from a too tightly positioned tension‐free vaginal tape (TVT). Methods A prospective observational study was conducted with women experiencing voiding dysfunction caused by too tightly positioned tapes. Ultrasound was used to identify the cause of the dysfunction and measure the distance between tape and longitudinal smooth muscle layer (LSM) of the urethra. If the tape was too close to the LSM (100 ml, it was mobilized under local/analgosedation shortly after the initial TVT procedure. Results Seventy‐one postoperative TVT mobilization procedures were conducted on 61 women, which was 4.1% (61/1501) of all suburethral tape procedures performed. Early tape mobilization restored normal micturition in 59 (96.7%) of the women at the time of discharge. Significant differences were found in residual volumes (P 
ISSN:0733-2467
1520-6777
DOI:10.1002/nau.22459