Abstract
Objective(s): Aim of the study was to assess the effectiveness and the complications associated
with the use of tension-free vaginal tape (TVT) in women with stress urinary incontinence
and low urethral closure pressure (LUCP). Study design: Thirty-seven patients with stress urinary incontinence and LUCP who were treated
with the TVT procedure have been included in the study. Physical examination and urodynamic
investigations were carried out to all women preoperatively and at 6, 12 and 26 months
(average, range: 22–30 months), postoperatively. The mean age of the patients was
69 years (±13), while mean parity was 2.2 (range 0–3). Results: TVT procedure was carried out in all patients with epidural anesthesia. Postoperative
evaluation showed 27 patients (73%) to have been completely cured, four (9.25%) to
have a considerable improvement, whereas six patients (16.2%) were classified as failures.
Only a few complications occurred. Conclusion(s): Our study indicates that the TVT procedure is an effective and well-accepted minimal
invasive surgery for treatment of urinary stress incontinence in women with LUCP.
The cure rate of 73% could be considered satisfactory. Women with LUCP and ‘fixed’
urethra, are at significantly increased risk of failure of the procedure.
Keywords
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Article info
Publication history
Accepted:
February 5,
2004
Received:
August 8,
2003
Identification
Copyright
© 2004 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
