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  • Title: Incomplete bladder emptying after the tension-free vaginal tape procedure, necessitating release of the mesh. A report of three cases.
    Author: LaSala CA.
    Journal: J Reprod Med; 2003 May; 48(5):387-90. PubMed ID: 12815916.
    Abstract:
    BACKGROUND: The Tension Free Vaginal Tape (TVT) (Ethicon, Inc., Somerville, New Jersey) procedure is a minimally invasive surgical treatment for stress urinary incontinence. Urinary retention is a potential complication that may require release of the tape. CASES: In three cases, prolonged urinary retention occurred after the TVT procedure. Two of the three cases were performed in conjunction with anterior repair. All three patients required surgical release of the tape, which was located at the urethrovesical junction rather than midurethra. All three patients remained stress continent after tape release. One patient developed urge incontinence. CONCLUSION: Excessive tension, as well as tape migration toward the urethrovesical junction, may be the cause of prolonged urinary retention after the TVT procedure. Surgical release of the tape is an effective management approach to this complication.
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