BACKGROUND Women undergoing hysterectomy for benign uterine disease (BUD) may experience stress urinary incontinence (SUI). We performed tension-free vaginal tape (TVT) procedure and laparoscopic-assisted vaginal hysterectomy (LAVH) simultaneously and assessed the feasibility and efficacy of TVT performed under general anesthesia and the resultant anti-incontinence effects following the combine...

INTRODUCTION Vaginal sling procedures may have a negative effect on sexual function due to damage to vascular and/or neural genital structures. Even though autonomic innervation of the clitoris plays an important role in female sexual function, most studies on the neuroanatomy of the clitoris focus on the sensory function of the dorsal nerve of the clitoris (DNC). The autonomic and somatic path...

PURPOSE The incidence of urinary incontinence in women of childbearing age is about 30%. Around half have stress incontinence. Many treatment modalities have been elucidated to treat stress incontinence, and among the most popular are rectus fascia sling and tension-free vaginal tape (TVT). The introduction of TVT to the urological armamentarium put a multiplicity of synthetic materials into us...

Objective: To compare the objective and subjective cure rates of suburethral plication versus TVT-O in women with SUI. Methods: This is a randomized comparative trial done at a university hospital. Patients recruited were chosen to have urodynamic evidence of genuine SUI. They were randomized to have either suburethral plication or TVT-O. Patients were assessed preoperatively and postoperativel...

PURPOSE To evaluate the impact of preoperative patient characteristics and flow rate on failure, early postoperative complications, and voiding in patients who underwent transvaginal tension-free vaginal tape-obturator (TVT-O) treatment for uncomplicated stress urinary incontinence (SUI). METHODS We retrospectively reviewed patients who underwent TVT-O for SUI at 3 Italian centres. The exclus...

BACKGROUND Tension-free vaginal tape (TVT) has been largely used for the management of stress urinary incontinence. In certain cases, however, this procedure results in bothersome complications that lead to a complete resection. OBJECTIVE We assessed the technical feasibility and functional outcome after complete laparoscopic resection of TVT. DESIGN, SETTING, AND PARTICIPANTS Thirty-eight ...

OBJECTIVE To study the preoperative urodryramic parameters whether it can predict the outcome of TVT operation in Thai women with stress urinary incontinence (SUI). STUDY DESIGN Cohort study. MATERIAL AND METHOD Twenty five Thai women undergone TVT from January to December 2004 at Bumrungrad Hospital were included in the present study. Urodyramic studies were done pre-operatively. The TVT o...

OBJECTIVE To analyse the complications of tension-free vaginal tape (TVT) surgery, a minimally invasive alternative for treating patients with stress urinary incontinence (SUI), at six institutions, and to review the management of these complications and their effect on patient outcome. PATIENTS AND METHODS In all, 241 patients who had a TVT procedure by six urologists at six hospitals (two u...