Tension-free vaginal tape procedure for the treatment of stress urinary incontinence: the first experience in Thailand.
Article
in English
| IMSEAR
| ID: sea-45501
ABSTRACT
OBJECTIVE:
Tension-free vaginal tape (TVT) is gaining popularity as an effective treatment for genuine stress urinary incontinence. To better understand this procedure including its results, a retrospective study was carried out to determine surgical technique, effectiveness, safety and early results of this new continence procedure. MATERIAL ANDMETHOD:
From January 1999 to July 2000, twenty female patients with the mean age of 52 years old underwent the TVT procedure. All of them were done by a small incision at mid urethra and a special instrument was used to apply a polypropylene mesh supporting the urethra. Urethral catheter was used as urinary drainage which was removed the next day. Operative time, post-operative course, voiding patterns and residual urine were recorded.RESULTS:
Mean operative time was 32 minutes (range 15-45 minutes). Up to 10 months, all of the patients were subjectively cured. There was no significant per- and post-operative complication including blood loss, wound infection and severe pain. Four patients (20%) had marked residual urine (>100 ml) and needed clean intermittent catheterization for the mean of 0.7 week.CONCLUSION:
Although the follow-up period was short, the TVT procedure seems to be a safe and effective method for the treatment of stress urinary incontinence.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Polypropylenes
/
Urologic Surgical Procedures
/
Surgical Mesh
/
Thailand
/
Urinary Incontinence, Stress
/
Vagina
/
Severity of Illness Index
/
Aged
/
Female
/
Humans
Type of study:
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Year:
2002
Type:
Article
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