Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement. Int Braz J Urol 2008;34(3):336-42; discussion 343-4
Date
07/08/2008Pubmed ID
18601764DOI
10.1590/s1677-55382008000300011Scopus ID
2-s2.0-48049086996 (requires institutional sign-in at Scopus site) 16 CitationsAbstract
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.
Author List
Eandi JA, Tanaka ST, Hellenthal NJ, O'Connor RC, Stone ARAuthor
Robert Corey O'Connor MD Professor in the Urologic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Female
Follow-Up Studies
Humans
Middle Aged
Postoperative Complications
Quality of Life
Recurrence
Reoperation
Retrospective Studies
Risk Factors
Self-Assessment
Suburethral Slings
Surveys and Questionnaires
Treatment Failure
Urinary Incontinence, Stress
Urodynamics
