Surgical Intervention for Complications of Tension-Free Vaginal Tape Procedure.

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2003Surgical Intervention for Complications of Tension-Free Vaginal Tape Procedure. BJOERN G. VOLKMER, THOMAS NESSLAUER, LUDWIG RINNAB, THOMAS SCHRADIN, RICHARD E. HAUTMANN, and HANS-WERNER GOTTFRIED BJOERN G. VOLKMERBJOERN G. VOLKMER More articles by this author , THOMAS NESSLAUERTHOMAS NESSLAUER More articles by this author , LUDWIG RINNABLUDWIG RINNAB More articles by this author , THOMAS SCHRADINTHOMAS SCHRADIN More articles by this author , RICHARD E. HAUTMANNRICHARD E. HAUTMANN More articles by this author , and HANS-WERNER GOTTFRIEDHANS-WERNER GOTTFRIED More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)63955-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The tension-free vaginal tape procedure has become a state of the art operation for female stress urinary incontinence. Cases of complications requiring surgical revision are reported to be rare. We report on 6 patients with complications necessitating surgery. Materials and Methods: Six patients who previously underwent the tension-free vaginal tape procedure required surgical management of complications, including intravesical polypropylene mesh tape with incrustation and chronic urinary tract infection in 2, vaginal mucosal mesh erosion of the vaginal incision in 1 and permanent urinary retention in 3. Results: The intravesical tapes were resected via a suprapubic approach. In the case of disturbed wound healing the periurethral part of the tape was resected transvaginally. A patient in urinary retention underwent resection of the periurethral sling, while in the other 2 the tapes were transected transvaginally. Two patients in whom incontinence recurred were successfully treated with a repeat tension-free vaginal tape procedure during followup. Conclusions: Complications of the tension-free vaginal tape procedure that require surgical intervention are rare. The surgeon must be aware that this operation may lead to an additional surgical procedure, significantly increasing morbidity. References 1 : Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol1995; 29: 75. Google Scholar 2 : An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand1990; 153: 7. Google Scholar 3 : Objective and subjective cure rates after tension-free vaginal tape for treatment of urinary incontinence. Urology2001; 58: 702. Google Scholar 4 : Combined genitourinary prolapse repair and prophylactic tension-free vaginal tape in women with severe prolapse and occult stress urinary incontinence: preliminary results. Urology2001; 58: 547. Google Scholar 5 : A new approach in techniques to treat urinary incontinence: TVT (tension free vaginal tape). Rev Med Brux2001; 22: 166. Google Scholar 6 : Tension-free vaginal tape and percutaneous vaginal tape sling procedures. Tech Urol2001; 7: 90. Google Scholar 7 : Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology2001; 58: 697. Google Scholar 8 : The tension-free transvaginal tape procedure in the treatment of female urinary stress incontinence: a French prospective multicentre study. Eur Urol2001; 39: 709. Google Scholar 9 : A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct1998; 9: 210. Google Scholar 10 : United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability. Tech Urol2001; 7: 261. Google Scholar 11 : Use of “TVT” in surgery for female urinary incontinence. J Gynecol Obstet Biol Reprod2000; 29: 242. Google Scholar 12 : Tension-free vaginal tape. A minimally invasive solution to stress urinary incontinence in women. J Reprod Med1998; 43: 429. Google Scholar 13 : Evaluation of tension-free vaginal tape procedure. Its safety and efficacy in the treatment of female stress urinary incontinence during the learning phase. Eur Urol2001; 40: 543. Google Scholar 14 : Combined tension-free vaginal tape and prolapse repair under local anaesthesia in patients with symptoms of both urinary incontinence and prolapse. Gynecol Obstet Invest2001; 51: 184. Google Scholar 15 : TVT—tension-free vaginal tape—a new minimally invasive surgical technique for female stress incontinence: preliminary results. Harefuah1999; 137: 433. Google Scholar 16 : Results and complications of tension-free vaginal tape (TVT) for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct2001; 12: 370. Google Scholar 17 : Tension-free vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct2001; 12: S24. Google Scholar 18 : Severe hemorrhage complicating tension-free vaginal tape (TVT): a case report. Int Urogynecol J Pelvic Floor Dysfunct2001; 12: 139. Google Scholar 19 : Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence. Eur Urol2001; 39: 603. Google Scholar 20 : Use of the TVT (Tension-free Vaginal Tape) in the treatment of female urinary stress incontinence. Preliminary results. Minerva Ginecol1999; 51: 355. Google Scholar From the Department of Urology, University of Ulm, Ulm, Germany© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRoslan M and Markuszewski M (2018) Transvesical Laparoendoscopic Single Site Surgery to Remove Surgical Materials Penetrating the Bladder: Initial Clinical Experience in 9 Female PatientsJournal of Urology, VOL. 190, NO. 3, (909-915), Online publication date: 1-Sep-2013.Padmanabhan P, Hutchinson R, Reynolds W, Kaufman M, Scarpero H and Dmochowski R (2018) Approach to Management of Iatrogenic Foreign Bodies of the Lower Urinary Tract Following Reconstructive Pelvic SurgeryJournal of Urology, VOL. 187, NO. 5, (1685-1690), Online publication date: 1-May-2012.Greiman A and Kielb S (2018) Revisions of Mid Urethral Slings Can be Accomplished in the OfficeJournal of Urology, VOL. 188, NO. 1, (190-193), Online publication date: 1-Jul-2012.Davis N, Smyth L, Giri S and Flood H (2018) Evaluation of Endoscopic Laser Excision of Polypropylene Mesh/Sutures Following Anti-Incontinence ProceduresJournal of Urology, VOL. 188, NO. 5, (1828-1833), Online publication date: 1-Nov-2012.Misrai V, Rouprêt M, Xylinas E, Cour F, Vaessen C, Haertig A, Richard F and Chartier-Kastler E (2018) Surgical Resection for Suburethral Sling Complications After Treatment for Stress Urinary IncontinenceJournal of Urology, VOL. 181, NO. 5, (2198-2203), Online publication date: 1-May-2009.Lee J, Yoon H, Lee S, Kim K, Choi J and Lee K (2018) Modified Transobturator Tape (Canal Transobturator Tape) Surgery for Female Stress Urinary IncontinenceJournal of Urology, VOL. 181, NO. 6, (2616-2621), Online publication date: 1-Jun-2009.Morey A, Medendorp A, Noller M, Mora R, Shandera K, Foley J, Rivera L, Reyna J and Terry P (2018) Transobturator Versus Transabdominal Mid Urethral Slings: A Multi-Institutional Comparison of Obstructive Voiding ComplicationsJournal of Urology, VOL. 175, NO. 3, (1014-1017), Online publication date: 1-Mar-2006.GIRI S, DRUMM J and FLOOD H (2018) ENDOSCOPIC HOLMIUM LASER EXCISION OF INTRAVESICAL TENSION-FREE VAGINAL TAPE AND POLYPROPYLENE SUTURE AFTER ANTI-INCONTINENCE PROCEDURESJournal of Urology, VOL. 174, NO. 4 Part 1, (1306-1307), Online publication date: 1-Oct-2005.TSIVIAN A, KESSLER O, MOGUTIN B, ROSENTHAL J, KORCZAK D, LEVIN S and SIDI A (2018) Tape Related Complications of the Tension-Free Vaginal Tape ProcedureJournal of Urology, VOL. 171, NO. 2, (762-764), Online publication date: 1-Feb-2004.TSIVIAN A, MOGUTIN B, KESSLER O, KORCZAK D, LEVIN S and SIDI A (2018) TENSION-FREE VAGINAL TAPE PROCEDURE FOR THE TREATMENT OF FEMALE STRESS URINARY INCONTINENCE: LONG-TERM RESULTSJournal of Urology, VOL. 172, NO. 3, (998-1000), Online publication date: 1-Sep-2004.HODROFF M, PORTIS A and SIEGEL S (2018) ENDOSCOPIC REMOVAL OF INTRAVESICAL POLYPROPYLENE SLING WITH THE HOLMIUM LASERJournal of Urology, VOL. 172, NO. 4 Part 1, (1361-1362), Online publication date: 1-Oct-2004.KOBASHI K and GOVIER F (2018) Perioperative Complications: The First 140 Polypropylene Pubovaginal SlingsJournal of Urology, VOL. 170, NO. 5, (1918-1921), Online publication date: 1-Nov-2003. Volume 169Issue 2February 2003Page: 570-574 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsurinary incontinence, stressvaginapolypropylenesprostheses and implantsMetricsAuthor Information BJOERN G. VOLKMER More articles by this author THOMAS NESSLAUER More articles by this author LUDWIG RINNAB More articles by this author THOMAS SCHRADIN More articles by this author RICHARD E. HAUTMANN More articles by this author HANS-WERNER GOTTFRIED More articles by this author Expand All Advertisement PDF downloadLoading ...