Can we place tension-free vaginal tape where it should be? The one-third rule

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Urethral erosion of tension-free vaginal tape.

BACKGROUND Urethral dilation has been recommended to treat voiding dysfunction that may occur after placement of tension-free vaginal tape (TVT) for the treatment of stress urinary incontinence. We report on a case of urethral erosion by the tape secondary to repetitive urethral dilations after surgery. CASE A urethral erosion by the tape was diagnosed by cystoscopy after three urethral dilat...

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Tension-free vaginal tape (TVT) procedure.

OBJECTIVE To provide an introduction to the tension-free vaginal tape (TVT) procedure, placing it in the context of minimally invasive surgeries for the treatment of urinary stress incontinence in women, and to provide guidance to surgeons counselling women on the merits of this surgical choice. OPTIONS This discussion is limited to surgical treatment of urinary stress incontinence in women. ...

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Tension-free vaginal tape in the elderly: is it a safe procedure?

OBJECTIVES To analyze the safety and efficacy of tension-free vaginal tape (TVT) surgery in elderly versus younger women with stress urinary incontinence (SUI). METHODS A total of 157 consecutive elderly women, aged 70 years and older, and 303 younger women (mean age, 74.8 and 57.2 years, respectively) who underwent TVT for urodynamically-confirmed SUI were prospectively enrolled. Concomitant...

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Urethral pressure reflectometry before and after tension-free vaginal tape.

AIM Urethral pressure reflectometry (UPR) is a new method for measuring pressure and cross-sectional area in the urethra. Our aim was to investigate if the UPR parameters at rest and during squeeze were unchanged after TVT. METHODS The technique enables measurement along the entire length of the urethra simultaneously and avoids the common artefacts encountered with conventional catheters. Tw...

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Voiding function after tension-free vaginal tape: a longitudinal study.

BACKGROUND The tension-free vaginal tape (TVT) has become popular for the surgical treatment of urodynamic stress incontinence. It seems to function via an intermittent obstructive effect that is easily demonstrated on imaging, although there is no agreement regarding its effect on voiding. AIMS The present study was designed to longitudinally evaluate flowmetry indices and voiding symptoms a...

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ژورنال

عنوان ژورنال: Ultrasound in Obstetrics & Gynecology

سال: 2012

ISSN: 0960-7692

DOI: 10.1002/uog.10050