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Case 33 - A 45-Year-Old Woman Undergoes a Transvaginal Midurethral Sling and Is Unable to Void after the Procedure

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
University of Alabama, Birmingham
Lisa Keder
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Mayo Clinic, Rochester
Kimberly S. Gecsi
Medical College of Wisconsin
David Chelmow
Virginia Commonwealth University School of Medicine
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A 45-year-old female is awaiting discharge from the post-anesthesia recovery unit but is unable to void. She is two hours post-completion of a transobturator tension-free vaginal tape procedure for stress urinary incontinence. The procedure was uncomplicated with minimal blood loss. It was performed under spinal anesthesia. Post-procedure cystoscopy was normal. She is in minimal pain after taking ibuprofen and oxycodone. She is tolerating a general diet without nausea. She reports the sensation of a full bladder. She has no significant past medical or surgical history. She is currently taking multivitamins (one tablet PO daily) and has no known drug allergies.

Surgical Gynecology
A Case-Based Approach
, pp. 99 - 101
Publisher: Cambridge University Press
Print publication year: 2021

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