Clinical assessment of tension-free vaginal tape surgery for the treatment of recurrent stress urinary incontinence in women / 中华老年医学杂志

ABSTRACT

Objective:To analyze the clinical efficacy and safety of the retropubic tension-free vaginal tape(TVT)procedure for postoperative recurrent urinary incontinence in women.Methods:Retrospective analysis was conducted on twenty-two patients who had developed recurrent urinary incontinence after mid-urethral sling(MUS)surgery and received the retropubic TVT procedure via the middle urethra from January 2016 to June 2020.Patients were between 44 and 74 years old, with a mean age of 61.2±10.2.They were initially treated with the TVT and inside-out trans-obturator(TVT-O)procedures and were followed up by using the International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF). Then statistical analysis was performed.Results:No bladder or urethral puncture wounds were observed in the 22 patients during cystoscopy.No pain, sling, vaginal or urethral erosion, or postoperative sling infection was found in any of the patients during a long-term follow-up.Considerable improvement was achieved in frequency of leakage[pre-operation 4(4, 5) vs.post-operation 1(1, 2), P<0.001], urine leakage volume[pre-operation 6(4, 6)ml vs.post-operation 2(2, 2)ml, P<0.001], impact on quality of life[pre-operation 10(8, 10) vs. post-operation 2(1, 3), P<0.001]and ICI-Q-SF[pre-operation 20(18, 21) vs. post-operation 5(3, 7), P<0.001]after TVT. Conclusions:TVT is safe and effective for the treatment of recurrent urinary incontinence after MUS surgery.