Author/Editor | Lužnik, Marijan | |
Title | Pooperativni zastoj urina in zgodnja repozicija nenapetostnega traku | |
Translated title | Postoperative urinary retention and early reposition of tension-free vaginal tape | |
Type | članek | |
Source | Zdrav Vestn | |
Vol. and No. | Letnik 72, št. Suppl 2 | |
Publication year | 2003 | |
Volume | str. II-177-8 | |
Language | slo | |
Abstract | Background. The purpose of this article is to show a possible method of treatment of postoperative urinary retention after an initial tension free vaginal tape. Methods. From December 1999 to May 2003 we performed one hundred TVT procedures at our department, among them five women had postoperative urinary retention evaluated with catheterization. Revision and reposition of tension free vaginal tape were performed if retention of urine was over 100 ml. Results. Urinary retention after an initial tension free vaginal tape was successfully treated by early reposition of tension free vaginal tape. This resulted in immediate residual free voiding and continence, which remained unchanged at 6 week and 3 month follow-up. Conclusions. Postoperative urinary retention may be treated by reposition instead of dissection or elongation of the tension free vaginal tape. | |
Summary | Izhodišča. Namen prispevka je prikazati možen način sanacije pooperativnega zastoja urina po operaciji z nožničnim nenapetostnim trakom (TVT). Metode. Na našem oddelku smo od decembra 1999 do maja 2003 opravili 100 minimalno invazivnih operativnih posegov TVT: Pri petih operirankah je prišlo do mikcijskih motenj in zastoja urina, ki smo ga izmerili s kateterizacijo mehurja. Za revizijo in repozicijo nenapetostnega traku smo se odločili pri zaostanku urina nad 100 ml Rezultati. Z zgodnjo repozicijo nenapetostnega traku smo uspešno odpravili zastajanje urina po osnovni operaciji TVT. Po repoziciji se je takoj vzpostavilo uriniranje brez zaostanka urina in ohranila kontinenca, ki je bila prisotna tudi ob kontroli po šestih tednih in po treh mesecih. Zaključki. Pooperativni zastoj urina lahko uspešneje odpravimo z repozicijo nenapetostnega traku kot z morebitno prekinitvijo traku s prerezanjem ali s prekinitvijo in hkratnim podaljšanjem nenapetostnega traku. | |
Descriptors | URINARY INCONTINENCE SURGERY, MINIMALLY INVASIVE POSTOPERATIVE COMPLICATIONS URINARY RETENTION |