Tension-Free Vaginal Tape (TVT) in Women with Recurrent Stress Urinary Incontinence  A Long-term Follow up

Rezapour, Masoumeh; Ulmsten, Ulf

doi:10.1007/s001920170004

Cited by 195 publications

(98 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For patients with recurrent incontinence, the results are similar to those achieved with a primary procedure; for those with a fixed urethrovesical junction, the outcome is poor, as it is with any other surgical procedures [41][42][43]. Holmgren conducted a long-term study, published in 2005, concluding that initial cure rates of TVT were good for mixed incontinence but did not persist after four years [44].…”

Section: Pre-pubic Tvt Proceduresmentioning

confidence: 86%

See 1 more Smart Citation

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Leanza¹

2012

TOWHJ

View full text Add to dashboard Cite

Abstract:Objective. To evaluate both results and complications of Retro-pubic, Pre-pubic and Trans-obturator miniinvasive anti-incontinence surgical procedures.Material and methods. Search of PubMed, Cochrane library and relevant articles from 1996 to 2012.Results. Seventy-four works were found. Literature showed similar cure rates among retro-pubic (71,4-91%), transobturator (77,3-95%) and pre-pubic (81-87,2%) anti-incontinence procedures. Cystoscopy is considered as necessary in the retro-pubic, optional in the trans-obturator, unnecessary in the pre-pubic procedure. Intra-operative cough stress test is believed to be useful only when using the retro-pubic and the pre-pubic path. Obstruction symptoms prevail in the retropubic, are rare in the trans-obturator and not recorded in the pre-pubic procedure. The erosion rate is similar for the all the three techniques. Permanent catheterization is found in 3% of the retro-pubic technique group. The retro-pubic path may be mainly performed for the cure of recurrent stress incontinence (RSI) and intrinsic sphincter deficiency (ISD) in absence of obstructive symptoms. Due to the danger involved in the retro-pubic space, intra-operative vascular and perforating risks prevail in the retro-pubic procedure, whereas the onset of late infective complications in the trans-obturator technique is due to the site of the mesh tip that may interfere with the movements of the thigh. No severe complications were reported in the pre-pubic procedure. Conclusion.In the severe cases of SUI, RSI and in ISD the retro-pubic tension-free route remains the favourite; when obstructive symptoms prevail, the prepubic technique is the most appropriate; whereas for all other cases, the trans-obturator procedure is the most suitable.

show abstract

Section: Pre-pubic Tvt Proceduresmentioning

confidence: 86%

“…A number of prospective observational trials have been conducted to evaluate the effectiveness of the TVT procedure [34][35][36][37][38][39].…”

Section: Pre-pubic Tvt Proceduresmentioning

confidence: 99%

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Leanza¹

2012

TOWHJ

View full text Add to dashboard Cite

show abstract

“…Subjective cure was assessed by self-reporting of participants and responses to symptom-based questionnaires (15). Deval et al (23) and Ulmsten et al (18) reported subjective cure rates of 70% and 85% respectively in large studies on TVT for SUI , and cure rates of 74% have been reported on mid-urethral TVT for ISD (17). A recent systematic review of surgical treatments of SUI demonstrated similar cure rates in the MUS and RFS group and a trend towards a higher re-operation rate in the MUS group (24).…”

Section: Cuaj -Original Researchmentioning

confidence: 96%

Bladder neck placement of a synthetic polypropylene sling for the treatment of stress urinary incontinence

McLoughlin

Gleeson

Francis

et al. 2018

CUAJ

View full text Add to dashboard Cite

Introduction: Pubo-vaginal sling placed at the bladder neck has been the gold standard treatment for stress urinary incontinence (SUI). The synthetic midurethral sling (MUS) is now widely used, as morbidity rates with this technique are substantially reduced. This is an initial report on long-term outcomes of a polypropylene sling (PPS) placed in the traditional bladder neck location. Methods: A retrospective analysis of all patients who underwent PPS insertion at our institution between 2006 and 2014 was conducted. Patient and urodynamic demographics were recorded. Subjective and objective measures of success were determined by postoperative pad usage and validated incontinence questionnaires. Results: A total of 170 patients were followed for a median of four (range 1-8) years. The mean age was 51 (±10) years. Subjective response was assessed in 57% of patients; the overall subjective cure rate was 85.3% (n=145), subjective improvement rate was 4.1% (n=7), and the subjective failure rate was 10.6% (n=18). The mean Urogenital Distress Inventory (UDI)-6 score was 6.5 (±5.6) out of a maximum score of 24 and the Incontinence Impact Questionnaire (IIQ)-7 score was 5.5 (±6.3) out of a maximum score of 28. There was no significant difference in objective outcome measures in those with an ALPP 60 cmH 2 O. Conclusion: Bladder neck placement of a PPS resulted in cure rates of 85% in this series. SUI secondary to intrinsic sphincter deficiency (ISD) and urethral hypermobility were treated with equal success. Bladder neck PPS placement has a role in the treatment of SUI. Our data may well reassure rectus fascia sling (RFS) surgeons who wish to take advantage of faster postoperative recovery using the less invasive PPS placed at the bladder neck.

show abstract

“…In attempt to reduce these complications, Delorme et al (28) developed a procedure through which the sling is introduced via the obturator foramen. There is now a significant evidence in the Literature with several Authors who remark the success of retropubic TVT for the treatment of SUI, and a large number of prospective trials have been conducted to evaluate the effectiveness of the retropubic TVT procedure (35,(37)(38)(39).…”

Section: Prepubic -Tvt Proceduresmentioning

confidence: 99%

Mini-invasive tension-free surgery for female urinary incontinence

Leanza¹

2014

gchir

View full text Add to dashboard Cite

show abstract

Tension-Free Vaginal Tape (TVT) in Women with Recurrent Stress Urinary Incontinence A Long-term Follow up

Cited by 195 publications

References 12 publications

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Bladder neck placement of a synthetic polypropylene sling for the treatment of stress urinary incontinence

Mini-invasive tension-free surgery for female urinary incontinence

Contact Info

Product

Resources

About

Tension-Free Vaginal Tape (TVT) in Women with Recurrent Stress Urinary Incontinence  A Long-term Follow up

Cited by 195 publications

References 12 publications

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Tension-Free Mini-Invasive Anti-Incontinence Procedures: Comparison Among Three Main Pathways

Bladder neck placement of a synthetic polypropylene sling for the treatment of stress urinary incontinence

Mini-invasive tension-free surgery for female urinary incontinence

Contact Info

Product

Resources

About

Tension-Free Vaginal Tape (TVT) in Women with Recurrent Stress Urinary Incontinence A Long-term Follow up