Treatment of bladder outlet obstruction secondary to suburethral tape by section of the tape

• Published in: Progrès en urologie (Paris) Vol. 16; no. 1; p. 67
• Main Authors: Gamé, Xavier, Soulié, Michel, Malavaud, Bernard, Seguin, Philippe, Vazzoler, Nicolas, Sarramon, Jean-Pierre, Plante, Pierre, Rischmann, Pascal
• Format: Journal Article
• Language: French
• Published: France 01.02.2006
• Subjects: Female; Humans; Middle Aged; Prostheses and Implants - adverse effects; Urethra; Urinary Bladder Neck Obstruction - etiology; Urinary Bladder Neck Obstruction - surgery; Urinary Incontinence, Stress - surgery; Urinary Retention - surgery
• ISSN: 1166-7087

To determine the results of treatment of chronic urinary retention secondary to bladder outlet obstruction complicating retropubic suburethral insertion of Tension-free Vaginal Tape (TVT) by section of this tape. Between June 2000 and December 2004, 30 women with a mean age of 63.5 +/- 11.6 years underwent a single lateral urethral section of Tension-free Vaginal Tape to treat bladder outlet obstruction secondary to retropubic suburethral TVT insertion. Success was defined by resolution of the symptoms, a maximum urine flow rate greater than 15 ml/s and a post-voiding residual less than 50 ml and failure was defined by persistence of at least one of these three criteria. The mean interval between TVT placement and tape section was 12.7 +/- 14.7 months. The mean follow-up was 25.8 +/- 7.8 months. The cure rate was 70%. One complication (a bladder wound) was observed. Postoperatively, two patients (70%) developed recurrence of stress urinary incontinence. The treatment of chronic bladder outlet obstruction after retropubic TVT placement to treat stress urinary incontinence by single lateral urethral section of this tape is a simple and effective technique with low morbidity, accompanied by a very low urinary incontinence recurrence rate.