Elçi Atılgan, AdeviyeAltuntaş, Şükriye Leyla2021-10-072021-10-072021Elçi 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/s12262-020-02652-70972-20680973-9793https://dx.doi.org/10.1007/s12262-020-02652-7https://hdl.handle.net/20.500.12511/8383Voiding 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.eninfo:eu-repo/semantics/embargoedAccessStress Urinary IncontinenceTape MobilizationTension-Free Vaginal TapeVoiding DysfunctionArticle8351241124410.1007/s12262-020-02652-7Q4Q4