Re-audit of Tension-free Vaginal Tape (tvt) for Stress Urinary Incontinence. Closing the Audit Cycle

Hypothesis / aims of study Clinical audit is a quality improvement process that seeks to improve patient care and outcome. The audit cycle consists of systematic review of care against explicit criteria, implementation of change and finally,a re-audit to complete the audit cycle. TVT was introduced in our institute in 2001. In 2003, The National Institute of Clinical Excellence (NICE) published a guideline on the use of TVT for surgical treatment of stress urinary incontinence. An audit was carried out in 2004 to measure the adherence to the NICE guideline and to ensure that the success rate as well as the complication rate was within the national standards. A shortfall especially in documentation and postoperative measurement of residual urine was highlighted. The aim of this reaudit is to identify whether changes have improved the compliance to NICE guideline as well as to ensure that the success rate as well as the complication rate remain within the national standards.