Long-term results after Burch colposuspension

Feyereisl, Jaroslav; Dreher, E.; Haenggi, Willy; Zikmund, J; Schneider, H.

doi:10.1016/0002-9378(94)90077-9

Cited by 113 publications

(48 citation statements)

References 14 publications

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“…It should be emphasized that the criteria for cure used in the present report involved the evaluation of both objective and subjective parameters, such as the stress test, the pad-weighing test, and quality of life assessment. With these strict criteria for cure the TVT procedure compares very well in the long term with the most effective traditional and more invasive surgical procedures, such as the fascial slings and the colposuspension operations [15,16]. Approximately one-third of the women in the present trial reported urge symptoms preoperatively.…”

Section: Discussionmentioning

confidence: 77%

Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence

Nilsson

Kuuva

Falconer

et al. 2001

International Urogynecology Journal and Pelvic Floor Dysfunctio

498

253

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In a prospective long-term Nordic multicenter study, 90 consecutive patients who had a tension-free vaginal tape (TVT) operation performed because of stress urinary incontinence were evaluated according to a strict protocol after approximately 5 years (range 48-70 months). Eighty-five patients could be evaluated according to the protocol. Another 5 elderly patients had to be interviewed by telephone at the final check-up after 5 years. The study protocol involved pre- and postoperative objective and subjective evaluation. The median follow-up time was 56 months. Seventy-two of the 85 patients who were fully evaluated (84.7%) were both objectively and subjectively completely cured. Another 9 patients (10.6%) were significantly improved and 4 (4.7%) were regarded as failures. No patient complained of long-term voiding difficulties and there were no signs of defective healing or rejection of the tape material. All patients had suffered from primary stress incontinence, and 25 also had preoperative complaints of urge. In 14 of these (56%) the urge symptoms were relieved postoperatively. We conclude that the TVT procedure seems to fulfil the expectations of high long-term cure rates, as suggested in previous short-term reports.

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Section: Discussionmentioning

confidence: 77%

Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence

Nilsson

Kuuva

Falconer

et al. 2001

International Urogynecology Journal and Pelvic Floor Dysfunctio

498

253

View full text Add to dashboard Cite

show abstract

“…Long-term prospective reports on the effectiveness of incontinence surgery are scarcely available. Longer than 10 years of follow-up of the traditional incontinence operations, as fascial slings and colposuspension, have mostly been retrospective with the limitations it imposes on the interpretation of the results [3,4]. The tension-free vaginal tape (TVT) procedure for treatment of female stress incontinence is the first modern minimally invasive midurethra sling operation and the only one thus far with reports on cure rates with follow-up periods of 5 years or more [5,6].…”

Section: Introductionmentioning

confidence: 99%

Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence

et al. 2008

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The aim of this study was to evaluate the long-term effectiveness and safety of the tension-free vaginal tape (TVT) procedure. In a Nordic three-center prospective observational cohort study, 90 women with primary stress incontinence had a TVT operation performed in local anesthesia. Assessment included a 24-h pad test, a stress test, physical examination, and a visual analog scale for assessing the degree of bother. Patient's global impression of cure was obtained, and condition specific quality of life questionnaires were used. Seventy-seven percent of the initial cohort of 90 women and 89% of those alive and capable of cooperating were assessed 11.5 years after the TVT operation. Ninety percent of the women had both a negative stress test and a negative pad test being objectively cured. Subjective cure by patients global impression was found in 77%, 20% being improved and only 3% regarded the operation as a failure. No late-onset adverse effects of the operation were found, and no case of tape erosion was seen. The TVT procedure is safe and effective for more than 10 years.

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“…Four of the 6 patients were treated by releasing the colposuspension suture on the affected side, which, as in this case, did not result in a return to an incontinent state. Feyereisl [7] also described 2 patients in a series of 71 who complained of pain in the groin on the side of the suspension suture, which required intermittent analgesic therapy. Dainer [8] also describes this postoperative pain as a recognized complication of colposuspension, despite receiving scant attention in standard texts.…”

Section: Discussionmentioning

confidence: 99%

Post-Colposuspension Syndrome following a Tension-Free Vaginal Tape Procedure

2002

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A 51-year-old nurse underwent an uneventful TVT procedure. Two weeks postoperatively she developed intractable suprapubic pain directly over the iliopectineal ligaments consistent with a "post-colposuspension syndrome". This failed to respond to conservative therapy and she subsequently underwent exploration of the retropubic space. The TVT sling was found to be densely adherent to the iliopectineal ligaments, from which it was dissected free and then divided, leaving the part where it passes through the endopelvic fascia intact. The pain resolved immediately and the woman remained continent. This diagnosis should be considered in a woman presenting with groin pain following a sling procedure.

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Long-term results after Burch colposuspension

Cited by 113 publications

References 14 publications

Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence

Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence

Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence

Post-Colposuspension Syndrome following a Tension-Free Vaginal Tape Procedure

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