| The Clinical Outcome of Tension-Free Vaginal Tape Procedure for the Treatment of Stress Urinary Incontinence. |
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| Heui Kyeong Oh, Hwan Kim, Young Beom Jeong, Young Kyung Park |
| Department of Urology, Chonbuk National University Medical School, Chonju, Korea. YKpark@moak.chonbuk.ac.kr |
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| ABSTRACT |
PURPOSE
We evaluated the clinical outcome of a tension free vaginal tape(TVT) procedure for the treatment of stress urinary incontinence in women.
MATERIALS AND METHODS
One hundred-nine women(94 with genuine stress urinary incontine : and 15 with mixed urinary incontinence) underwent a TVT procedure under spinal, general anesthesia. Mean age was 48.6+/-9.3 years. The mean follow-up period was 13.5+/-2.0 months. Two women had experienced failed antiincontinence surgery and seven women had experienced pelvic surgery.
RESULTS
The mean operation time was 35.6+/-1.6 minutes and mean hospital stay was 2.03+/-0.4 day. Mean duration of postoperative indwelling catheter was 10.4+/-2.5 hours.
Sixteen patients(14.6%) had immediate postoperative voiding difficulties necessitating an extra procedure(soundation with Hegar dilator). Nine patients(8.3%) with de novo detrusor instability were improved by anticholinergics medication. Nine(66.7%) of 15 women with urge incontinence were significantly improved or cured after surgery.
Success rate was 96.3% and 95.4% in postoperative 3 and 6 months, respectively. The patients satisfied with this procedure were 103(94.5%) in postoperative 3 months and 102(93.6.%) in postoperative 6 months. There were no significant changes in the postoperative outcome over time.
CONCLUSIONS
We consider the TVT procedure is a safe and effective surgical procedure for the treatment of female stress urinary incontinence, though longer follow-up is necessary to determine long term effect. |
| Keywords:
Stress urinary incontinence; Tension-free vaginal tape |
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