Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence.
نویسندگان
چکیده
OBJECTIVE To evaluate the long-term cure rates and late complication rates after treatment of female urinary stress incontinence with the minimally invasive tension-free vaginal tape operation. METHODS Prospective observational, 3-center cohort study originally of 90 women requiring surgical treatment for primary urinary stress incontinence. Assessment variables included a 24-hour pad weighing test, a stress test, visual analog scale for assessing the degree of bother, and a questionnaire assessing the subjective perception of the women on their continence status. RESULTS The follow-up time was a mean of 91 months (range 78-100 months). Both objective and subjective cure rates were 81.3% for the 80 women available for follow-up. Asymptomatic pelvic organ prolapse was found in 7.8%, de novo urge symptoms in 6.3%, and recurrent urinary tract infection in 7.5% of the women. No other long-term adverse effects of the procedure were detected. CONCLUSION The tension-free vaginal tape procedure for treatment of female urinary stress incontinence is effective over a period of 7 years.
منابع مشابه
Tension-free vaginal tape sling procedure for the treatment of stress urinary incontinence in Hong Kong women with and without pelvic organ prolapse: 1-year outcome study.
OBJECTIVE To assess the outcome of patients who underwent a tension-free vaginal tape sling procedure alone versus patients who underwent concomitant pelvic floor surgery. DESIGN Retrospective cohort study. SETTING Urogynaecology unit of a university teaching hospital, Hong Kong. PATIENTS Patients diagnosed with moderate-to-severe urodynamic stress incontinence and underwent a tension-fre...
متن کاملA cost-effectiveness analysis of tension-free vaginal tape versus laparoscopic mesh colposuspension for primary female stress incontinence.
BACKGROUND Evaluation of cost-effectiveness of new surgical techniques is important. As the data on incontinence procedures are scarce, we evaluated the cost-effectiveness of tension-free vaginal tape procedure and laparoscopic mesh colposuspension as a primary surgical treatment for female stress urinary incontinence. METHODS In four university teaching hospitals and two central hospitals 12...
متن کاملEfficacy and Adverse Effects of Monarc Versus Tension-free Vaginal Tape Obturator: a Retrospective One-year Follow-up Study
Objective: To compare the efficacy and complications of the transobturator tape (Monarc) versus tension-free vaginal tape obturator in local women with urodynamic stress incontinence at the 1-year follow-up. Methods: A retrospective study was conducted in patients who underwent transobturator tape therapy for urodynamic stress incontinence in the period from August 2005 to August 2009 in United...
متن کاملدرمان بی اختیاری استرسی ادرار در زنان با استفاده از (Tension-free vaginal tape=TVT)
Background and Aim: This study was conducted to evaluate the safety and efficacy of Tension-free Tape for the surgical treatment of female stress urinary incontinence. Materials and Methods: In a prospective open study for pre and post operative, we followed 36 patients at least 1.5 years after surgery (18-28 months) all patients underwent the operation under local anesthesia, allowing the surg...
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ورودعنوان ژورنال:
- Obstetrics and gynecology
دوره 104 6 شماره
صفحات -
تاریخ انتشار 2004