A NEW MICRO-INJURY TREATMENT FOR FEMALE STRESS INCONTINENCE / 解放军医学杂志

ABSTRACT

Objective To retrospectively analyze the effectiveness and safeness of tension-free vaginal tape(TVT) as a treatment for female stress urinary incontinence (SUI) with minimal injury. Methods A longitudinal incision of 1.5cm was made through vaginal mucosa at the midsection of the urethra, and a suspension tape was inserted in 40 SUI patients. Results Thirty four out of 40 patients recovered completely without urinary retention and SUI. Two patients experienced mild urinary retension 2 weeks postoperative, and another patient with similar complaint 3 months after the operation. The symptom was totally alleviated by urethral dilatation. SUI symptom was improved markedly in 1 patient. In 4 patients, bladder perforation occurred during the operation. One patient experienced vaginal mucosa desquamation, and it healed spontaneously. One patient died of myocardial infarction 5 days after the operation. Conclusion TVT seemed to be a good method with minimal injury, with little pain, good result, less complications and high safety.