Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Introduction and hypothesis To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. Methods A retrospective observational study conducted from Janu...

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Bibliographic Details
Published in:International Urogynecology Journal 2019-09, Vol.30 (9), p.1509-1517
Main Authors: Lo, Tsia-Shu, Chua, Sandy, Tseng, Ling-Hong, Long, Cheng-Yu, Kao, Chuan-Chi, Hsieh, Wu-Chiao
Format: Article
Language:English
Subjects:
Adult
Bladder
Clinical outcomes
Female
Gynecology
Hospitals
Humans
Intubation
Medicine
Medicine & Public Health
Middle Aged
Obstetrics
Original Article
Pain
Postoperative Complications - etiology
Postoperative Complications - surgery
Questionnaires
Retention
Retrospective Studies
Suburethral Slings - adverse effects
Surgery
Surgical Wound - surgery
Suture Techniques
Treatment Outcome
Urinary incontinence
Urinary Incontinence, Stress - surgery
Urinary Retention - etiology
Urinary Retention - surgery
Urine
Urogenital system
Urology
Women
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Summary:Introduction and hypothesis To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. Methods A retrospective observational study conducted from January 2010 to July 2017. The records of patients with urodynamic stress incontinence (USI) without needing concurrent procedures who underwent anti-incontinence surgery using MiniArc, Solyx, and Ajust with voiding dysfunction were collated and analyzed. The primary outcome measure was the recovery of normal post-void residual urine (PVR) after TRS manipulation. The secondary outcome measures were the pain intensity noted during manipulation (quantified by visual analog scale) and the continence rate [assessed by (1) objective cure: 1-h pad test weight 
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-018-3826-9