Skip to main content

Advertisement

SpringerLink
Log in

Double opposite tape incision for obstructive sling

  • IUJ Video
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

Stress urinary incontinence affects about 34% of all adult women. The mid-urethral sling (MUS), considered the gold-standard treatment, has widespread use but also potential complications. This study aims to demonstrate a new surgical technique that releases urethral obstruction caused by MUS with urinary continence maintenance.

Methods

This video presents a 43-year-old patient with acute urinary retention after a suburethral sling procedure treated with a double opposite tape incision through a “U”-shaped inverted incision at the anterior vaginal wall.

Results

The patient resumed her usual activities 1 week later with urinary continence. After 6 weeks, she was allowed to resume physical activities and sexual intercourse. At 3-month follow-up, she is still satisfied without urine leakage recurrence.

Conclusions

The double opposite tape incision is feasible and effective for urethral loosening after the MUS procedure. Concerned that this is a unique case, further studies are required to compare this technique to other surgical treatment options.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6((Suppl 3)):S3–9.

    PubMed  PubMed Central  Google Scholar 

  2. Bazi T, Kerkhof MH, Takahashi SI, Abdel-Fattah M, IUGA. Research and Development Committee. Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion. Int Urogynecol J. 2018;29(1):23–8.

    Article  Google Scholar 

  3. Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol. 1998;160(4):1312–6.

    Article  CAS  Google Scholar 

  4. Malacarne DR, Nitti VW. Post-sling urinary retention in women. Curr Urol Rep. 2016;17(11):83.

    Article  Google Scholar 

  5. Blaivas JG, Purohit RS, Benedon MS, et al. Safety considerations for synthetic sling surgery. Nat Rev Urol. 2015;12(9):481–509.

    Article  Google Scholar 

  6. Ludwig S, Stumm M, Mallmann P, Jager W. TOT 8/4: A way to standardize the surgical procedure of a transobturator tape. Biomed Res Int. 2016;2016:4941304.

    Article  Google Scholar 

  7. Patel BN, Kobashi KC, Staskin D. Iatrogenic obstruction after sling surgery. Nat Rev Urol. 2012;9(8):429–34.

    Article  Google Scholar 

  8. Goldman HB. Simple sling incision for the treatment of iatrogenic urethral obstruction. Urology. 2003;62(4):714–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Urology Division, Department of Surgery, University of Campinas Faculty of Medical Sciences - UNICAMP, Campinas, SP, Brazil

    Cássio L. Z. Riccetto, Arnold Peter Paul Achermann, Ivan B. Selegatto & Lucas Mira Gon

  2. Post-graduate Program in Surgical Sciences, University of Campinas, UNICAMP, Campinas, Brazil

    Arnold Peter Paul Achermann

  3. Urocore – Centro de Urologia e Fisioterapia Pélvica, Londrina, PR, Brazil

    Arnold Peter Paul Achermann

Authors
  1. Cássio L. Z. Riccetto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arnold Peter Paul Achermann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ivan B. Selegatto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lucas Mira Gon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Cássio L. Z. Riccetto.

Ethics declarations

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient to publish this video article. All the authors agree with the consent terms.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

(MP4 145544 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Riccetto, C.L.Z., Achermann, A.P.P., Selegatto, I.B. et al. Double opposite tape incision for obstructive sling. Int Urogynecol J 33, 2315–2316 (2022). https://doi.org/10.1007/s00192-022-05180-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-022-05180-y

Keywords

Search

Navigation