scholarly journals TWO CASES OF BLADDER PROLENE® TAPE EXPOSURE AFTER TVT PROCEDURE

2010 ◽  
Vol 16 (1) ◽  
pp. 9
Author(s):  
M. Tamburello ◽  
V. Farruggia ◽  
S.M. Rubino
Keyword(s):  
Stress Incontinence ◽  
Bladder Wall ◽  
Tvt Procedure ◽  
Tvt Sling ◽  
Urinary Problems

Two cases of bladder exposure of TVT sling material at 23 and 12 months after the implantation are reported. In both cases the urinary problems developed immediately after the TVT procedure and only few millimetres of one arm of the sling were exposed into the bladder. It is assumed therefore that the graft was inserted into the bladder lumen or into the bladder wall during the procedure rather than rejected. The whole sling was removed and both patients were cured of dysuria but in one recurrence of stress incontinence was noted.

scholarly journals TVT PROCEDURE FOR THE TREATMENT OF SUI: OUR EXPERIENCE

2010 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
F. Magatti ◽  
P.L. Sirtori ◽  
C. Rumi ◽  
C. Belloni
Keyword(s):  
Urinary Incontinence ◽  
Minimally Invasive ◽  
Success Rate ◽  
Stress Incontinence ◽  
Spinal Anaesthesia ◽  
Surgical Procedure ◽  
Urinary Stress Incontinence ◽  
Invasive Technique ◽  
Female Urinary Incontinence ◽  
Tvt Procedure

In this study we determined the efficacy of TVT for the treatment of female urinary incontinence in a first group of patients (69) of our urogynaecology service from April 1998 to December 2000. The TVT procedure is a minimally invasive technique, using local or spinal anaesthesia, which consists in the implantation of a Prolene tape around the mid-urethra. On the basis of our results (92.3 % success rate) we consider the TVT procedure to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence.

Migrated Macroplastique in bladder wall – ‘Mickey Mouse’ sign in MRI

2017 ◽  
Vol 10 (5) ◽  
pp. 487-488
Author(s):  
Gokul V KandaSwamy ◽  
Kiran S Randhawa ◽  
Anandha K Dhanasekaran
Keyword(s):  
Stress Incontinence ◽  
Bladder Wall ◽  
Bladder Tumour ◽  
Mri Scan ◽  
Mickey Mouse ◽  
Urethral Bulking ◽  
Magnetic Resonance Imaging Mri ◽  
Urethral Bulking Agent

Macroplastique is an injectable urethral bulking agent used in stress incontinence. There is a paucity of studies beyond five years of follow-up looking into the long-term side effects of injecting this material. Here we present a female patient, who had Macroplastique injected multiple times 20 years ago for stress incontinence, and who presented with significant storage symptoms and non-visible haematuria. The symptoms were due to migration of Macroplastique and erosions, which looked like bladder tumour. Magnetic resonance imaging (MRI) scan showed circumferential migration of the Macroplastique material, mimicking the appearance of a ‘Mickey Mouse’.

scholarly journals A retrospective analysis of perioperative complications associated with retropubic tension-free vaginal tape in 960 women

2021 ◽  
Author(s):  
Janosch Jahn ◽  
Christl Reisenauer ◽  
Birgitt Schoenfisch ◽  
Bastian Amend ◽  
Sara Yvonne Brucker ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Surgical Procedure ◽  
Perioperative Complications ◽  
The Body ◽  
Common Complication ◽  
Tension Free ◽  
Overweight Women ◽  
Tension Free Vaginal Tape ◽  
Tvt Procedure ◽  
The Mean

Abstract Purpose The purpose is to analyse perioperative complications associated with the retropubic tension-free vaginal tape (TVT) procedure and their management. Methods This retrospective, monocentric cohort study included 960 women after retropubic TVT procedure performed by one surgeon from 2011 to 2016. Complications were identified up to 6 weeks after the procedure, divided into specific and general complications and classified based on the Clavien–Dindo (CD) Classification. A visit 6 weeks after the surgical procedure was attended by all patients. Results 77 complications, of which 74 occurred postoperatively and 3 intraoperatively, affecting 72 (7.5%) out of 960 women. Urinary retention and voiding problems were the most common complication. The mean age of women suffering complications was 3.4 years higher in comparison to the mean age of women without complications (p = 0.036). The Body Mass Index (BMI) of the group of women with perioperative complications had an average BMI which was 0.5 kg/m2 lower than the average BMI of the women without complications. 22 (12.8%) out of 172 women with recurrent stress incontinence had postoperative complications, of which 21 were related to the TVT. Conclusion The retropubic TVT is a surgical procedure associated with a low number of perioperative complications, even in the group of elderly and overweight women, as well as in cases of recurrent stress incontinence.

scholarly journals Incidence of Urinary Problems Post Successful Fistula Repair

2018 ◽  
Vol 13 (2) ◽  
pp. 23-26
Author(s):  
Nasira Tasnim ◽  
Kauser Bangash ◽  
Oreekah Amin ◽  
Afsan Batool
Keyword(s):  
Stress Incontinence ◽  
Urge Incontinence ◽  
Previous History ◽  
Maternal Child Health ◽  
Fistula Repair ◽  
Urogenital Fistula ◽  
Urine Examination ◽  
History Of ◽  
Patient’S History ◽  
Urinary Problems

Aims:  The aim was to determine the incidence and association of urinary problems post successful fistula repair. Methods: The retrospective analysis was conducted at Maternal Child Health Pakistan Institute of Medical Sciences, Islamabad, and comprised data related to patients having undergone vesicovaginal fistula repair from January 2008 to June 2018. Various modalities were used to determine the underlying cause of these symptoms including patient’s history, examination, ultrasound, urine examination and urodynamic studies. Statistical analysis of the record was done using SPSS 21 software. Results:  Among total 318 successful fistulas repair patients, 78 (24.5%) had urinary problems post operatively. Out of these 78, 56.4% had stress incontinence, 41% infection and 2.6% urge incontinence.13.6% of the stress incontinence was due to sphincter weakness. Urge incontinence was found to be due to detrusor instability. These post-operative urinary complaints were significantly associated with the repair of vesicovaginal (31.3%), urethral (23.1%) and vesicouterine (15.7%) fistula compared to those involving ureter(p 0.04). No significant association was found between the incidence of post-operative urinary complaints and previous history of surgical repair, parity, fistula size and duration of fistula. Conclusions: Urinary incontinence after fistula repair requires careful evaluation as the successful repair of a urogenital fistula can correct the fistula defect, but it might not make the patient dry. Moreover, performing further continence surgery may exacerbate the condition in some cases.

Prolene tape in the bladder wall after TVT procedure—intramural tape placement or secondary tape migration?

2004 ◽  
Vol 16 (1) ◽  
pp. 75-76 ◽  
Author(s):  
Igor But ◽  
Dejan Bratuš ◽  
Metka Faganelj
Keyword(s):  
Bladder Wall ◽  
Tvt Procedure

Late urological manifestation of stress incontinence surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241660
Author(s):  
Louay Salfity ◽  
Etay Dekel ◽  
Arun Sahai ◽  
Nicholas Faure Walker
Keyword(s):  
Stress Incontinence ◽  
Bladder Neck ◽  
Bladder Wall ◽  
Early Investigation ◽  
Complication Rates ◽  
Incontinence Surgery ◽  
Female Stress Incontinence ◽  
Retropubic Space ◽  
Stress Incontinence Surgery ◽  
Stamey Procedure

The Stamey procedure was a popular procedure for female stress incontinence practiced widely in the 1980s before it was abandoned owing to high complication rates. The procedure aimed to suspend the bladder neck by placing two transvaginal Dacron buttress grafts either side of the bladder neck and suspending them with sutures passed through the retropubic space and tied suprapubically. Erosion of the graft into the bladder was a recognised complication. We report a case of an 84-year-old lady who presented with urinary symptoms forty years after an unspecified stress incontinence procedure. Imaging and cystoscopy revealed an eroded graft in her bladder wall. Further investigation revealed the graft was a Dacron buttress from a Stamey procedure. This case highlights the importance of having a working knowledge of historical techniques that may present with complications many years later and recognising the symptoms that should prompt early investigation.

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