Tension Free Vaginal Tape Procedure for the Treatment of Female Stress Urinary Incontinence: 1 Year Follow Up / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1058-1062, 2001.
Article
in Korean
| WPRIM
| ID: wpr-38610
ABSTRACT
PURPOSE:
We evaluated the efficacy and safety of a tension free vaginal tape (TVT) procedure for the treatment of stress urinary incontinence in women. MATERIALS ANDMETHODS:
Forty-one women (32 with genuine stress urinary incontinence and 9 with mixed urinary incontinence) underwent a TVT procedure under spinal, epidural or general anesthesia. Three women experienced previously failed anti-incontinence surgery and nine women experienced previous pelvic surgery. The mean follow-up period was 17.1 0.4 months.RESULTS:
The mean operation time was 31.8 1.2 minutes and mean hospital stay was 1.7 0.2 days. There were no significant intra- and postoperative complication. Four patients (9.8%) had immediate postoperative voiding difficulties necessitating an extra procedure (cutting or release of the tape) under local anesthesia. Six patients (14.6%) with de novo detrusor instability were improved by anticholinergics medication and release of the tape. Six (66.7%) of 9 women with urge incontinence were significantly improved or cured after surgery. Success rate was 97.6% in postoperative 3 months, 95.1% in postoperative 12 months. The patients satisfied with this procedure were 38 (92.7%) in postoperative 3 months and 37 (90.2%) in postoperative 12 months. There were no significant changes in the postoperative outcome over time.CONCLUSIONS:
We consider the TVT procedure is a safe and effective surgical procedure for the treatment of female stress urinary incontinence, though longer follow-up is necessary to determine long term effect.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Urinary Incontinence
/
Follow-Up Studies
/
Cholinergic Antagonists
/
Urinary Incontinence, Urge
/
Suburethral Slings
/
Anesthesia, General
/
Anesthesia, Local
/
Length of Stay
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2001
Type:
Article
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