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Persistent urinary droplets after TVT surgery

I am  a 57 yo female and had a TVT 9/10.  I had  droplets of incontinence that felt like "bubbles" before the surgery that had no pattern but made it necessary to wear a panty liner. Some days were better than others without a cause.   I hoped the TVT would resolve the droplets, but it did not.  I have had a positive pressure  urethrogram recently that showed no pathology.  I have started Ditropan XL 5mg HS without any change in the droplets. Any ideas as to what I should  or could try next? My urologist thinks my sxs are overactive bladder.  How can this be resolved?
Best Answer
1128665 tn?1269273471
Have you checked out urethral diverticulum? Do some digging on this health issue to see if perhaps it fits.
Sher
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Avatar universal
Just read a Urologist's comments from some time ago,  Could my symptoms be "vaginal voiding"?  Could a Urologist please respond?
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Avatar universal
Thanks for your comments.  I had the +pressure urethrogram to rule out urethral diverticulum. It was negative.  I have increased the Ditropan XL dose to 10 mg HS with about 60% resolution of the bubbles/leakage,  but not fully resolved.  I have also questioned a fustula from the start and that was ruled out also. This is very frustrating as no one seems to know, with confidence, how to resolve my symptoms. My urogynecologist did the TVT and he is puzzled by my symptoms too.
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1128665 tn?1269273471
Bubbles sound like air getting in from somewhere which makes me question fistula but I would think tests done by urologist would have caught that. I'm going to have administration pass this post over to urology to see what kind of insights you can get from them-pelvic organ prolapse issues are the ones we address here and it sounds like those have already been addressed with TVT, and if it's OAB I would think the Ditropan would have at least helped a little. Hang in there while we get this transferred, I'm hopeful someone in urology can address this.
Sher
Helpful - 0
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