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Int. braz. j. urol ; 34(3): 336-344, May-June 2008. tab
Artículo en Inglés | LILACS | ID: lil-489593

RESUMEN

OBJECTIVE: To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure. MATERIALS AND METHODS: Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes. RESULTS: All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve. CONCLUSIONS: TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.


Asunto(s)
Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Persona de Mediana Edad , Calidad de Vida , Autoevaluación (Psicología) , Cabestrillo Suburetral , Encuestas y Cuestionarios , Incontinencia Urinaria de Esfuerzo/cirugía , Estudios de Seguimiento , Complicaciones Posoperatorias/etiología , Recurrencia , Reoperación , Estudios Retrospectivos , Factores de Riesgo , Cabestrillo Suburetral/efectos adversos , Cabestrillo Suburetral/normas , Insuficiencia del Tratamiento , Urodinámica , Incontinencia Urinaria de Esfuerzo/prevención & control , Incontinencia Urinaria de Esfuerzo/psicología
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