A simple approach for relieving voiding dysfunction after tension-free vaginal tape: Safety stitch

dc.authorid0000-0003-4833-8978
dc.authorid0000-0003-1985-552X
dc.contributor.authorElçi Atılgan, Adeviye
dc.contributor.authorAltuntaş, Şükriye Leyla
dc.date.accessioned2021-10-07T08:45:52Z
dc.date.available2021-10-07T08:45:52Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractVoiding dysfunction is one of the most common postoperative complications of the tension-free vaginal tape procedure. The aim of this study was to show the effectiveness of loosening the tape with a simple approach. A total of 84 women underwent a tension-free vaginal tape operation for stress urinary incontinence. While operation was performed, a prolene suture–safety stitch was inserted in the middle of the tape. Then vaginal incision was closed by extracting the prolene stitch outside. Thus prolene suture will be pulled with a clamp when patient complaint of voiding dysfunction at the postoperative period. A total of 18 patients (21.4%) experienced voiding dysfunction at the postoperative 1-month follow-up period. Sixteen patients (%19) were performed transvaginal tape mobilization within 3 days (range 1–5) after the primary procedure. No complications were observed with the mobilization. Two patients(2.3%) performed clean intermittent catheterization for a period of more than 1 day, with an average of 14.4 days (range 3–63). After tape mobilization, 15 women (93.7%) were recovered from voiding dysfunction and were continent. One woman was incontinent after mobilization. The incidence of voiding dysfunction requiring tape mobilization was 19%. Pulling the safety stitch without anesthesia and without reopening the vaginal incision is a simple, safe, and effective way for tape mobilization to relieve voiding dysfunction.
dc.identifier.citationElçi Atılgan, A. ve Altuntaş, Ş. L. (2021). A simple approach for relieving voiding dysfunction after tension-free vaginal tape: Safety stitch. Indian Journal of Surgery, 83(5), 1241-1244. https://dx.doi.org/10.1007/s12262-020-02652-7
dc.identifier.doi10.1007/s12262-020-02652-7
dc.identifier.endpage1244
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue5
dc.identifier.scopusqualityQ4
dc.identifier.startpage1241
dc.identifier.urihttps://dx.doi.org/10.1007/s12262-020-02652-7
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8383
dc.identifier.volume83
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectStress Urinary Incontinence
dc.subjectTape Mobilization
dc.subjectTension-Free Vaginal Tape
dc.subjectVoiding Dysfunction
dc.titleA simple approach for relieving voiding dysfunction after tension-free vaginal tape: Safety stitch
dc.typeArticle

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