E-Posters-Postoperative Voiding Dysfunction Involving Undue Tape after Tension Single-Incision Sling Devices could be Managed by Tension-releasing Suture

Postoperative Voiding Dysfunction Involving Undue Tape after Tension Single-Incision Sling Devices could be Managed by Tension-releasing Suture - Tsia Shu Lo, MD

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This study focuses on the effectiveness of tension-releasing suture (TRS) manipulation in relieving immediate postoperative voiding dysfunction in patients who have undergone surgery with single-incision sling (SIS) devices for stress urinary incontinence (SUI). The study included 443 patients who underwent SIS surgery using MiniArc, Solyx, or Ajust devices. The primary outcome measured was post-void residual (PVR) within the normal range after TRS manipulation. The secondary outcomes looked at pain intensity during the manipulation and its effect on continence cure rate, lower urinary tract symptoms, and quality of life.<br /><br />The results showed that 13.0% of patients had high PVR on post-op day 1, and 9.5% of patients required TRS manipulation to correct this issue. The cure rate in the first year after surgery was 92.9% in the TRS group and 97.0% in the continuous intermittent catheterization group. Pain associated with the TRS manipulation was well tolerated, with a pain visual analog scale (VAS) score of 1.74 for MiniArc, 2.14 for Solyx, and 3.60 for Ajust.<br /><br />Overall, the study found that TRS manipulation is an effective management technique for relieving voiding dysfunction in patients with overtensioned SIS devices. The procedure did not affect continence cure rates and was well tolerated in terms of pain. No adverse events or lower urinary tract symptoms were reported. The study suggests that TRS manipulation can be used to improve voiding function in patients with postoperative voiding dysfunction after SIS surgery.

Keywords

tension-releasing suture

TRS manipulation

postoperative voiding dysfunction

single-incision sling

stress urinary incontinence

post-void residual

pain intensity

continence cure rate

lower urinary tract symptoms

improve voiding function