The benefit of early mobilisation of tension-free vaginal tape in the treatment of post-operative voiding dysfunction

Abstract

Introduction and hypothesis: The aim of this study was to assess the outcome of early mobilisation of tension-free vaginal tape (TVT) in cases of post-operative voiding dysfunction.

Methods: Thirty-three consecutive cases of early mobilisation of TVT to treat post-operative voiding dysfunction were analysed retrospectively. In each case, the TVT was mobilised and loosened without dividing it, under general anaesthesia, within 2 weeks after the original procedure.

Results: Voiding function subsequently returned to normal in 29 out of 33 women with no recurrence of original stress incontinence. The four remaining women had the tape divided.

Conclusions: The study shows that early mobilisation of the TVT allows rapid resolution of post-operative voiding dysfunction without compromising the outcome of the original continence procedure.