ABSTRACT
To evaluate the efficacy and two-years follow-up of tension-free vaginal tape [TVT] procedure in the treatment of stress urinary incontinence [SUI]. The study included 25 female patients with SUI with a mean age of 41.6 years. The diagnosis was based upon history, physical examination, 2 days voiding diaries, vaginal examination, stress test and urodynamics. The procedure was performed under local, spinal or general anesthesia and according to Ulmsten, where polypropyline tape is placed in a U-shaped manner around the midurethra without any tension. Cystoscopy was performed to make sure that the bladder is not injured. Urethral catheter was fixed for 12 hours and the patient was discharged in the next day. The mean operative time was 30 minutes [range 20 - 48]. lntraoperative bladder perforation, profuse vaginal bleeding and convulsion were recorded in 3 cases. Early retention, within one week, occurred in 4 patients [16%] who successfully managed and the patients resumed normal voiding. Two patients [8%] developed denovo detrusor instability. Up to 2 years, there was no change in the postoperative outcome and the results seemed to be constant with time. Finally, 21 patients [84%] cured, 2 patients [8%] significantly improved, while the procedure failed in 2 patients [8%]. TVT is a simple and minimally invasive technique. The results of 2 years follow up are encouraging, however the procedure is not a risk free and in developing countries like Egypt, it is relatively expensive