The Changes of Storage Symptoms after Tension-free Vaginal Tape Procedures in Stress Urinary Incontinence Patients.
10.4111/kju.2007.48.12.1289
- Author:
Gwang Bae LEE
1
;
Hyo Sin KIM
;
Jun Sung KOH
;
Hyun Woo KIM
;
Yong Seok LEE
;
Hong Jin SUH
;
Dong Hwan LEE
;
Ji Youl LEE
Author Information
1. Department of Urology, College of Medicine, The Catholic University of Korea, Bucheon, Korea. uroljy@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Tension-free vaginal tape;
Urge incontinence;
Overactive bladder
- MeSH:
Follow-Up Studies;
Humans;
Nocturia;
Suburethral Slings*;
Urinary Bladder, Overactive;
Urinary Incontinence*;
Urinary Incontinence, Urge
- From:Korean Journal of Urology
2007;48(12):1289-1295
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the changes of storage symptoms after tension-free vaginal tape(TVT) procedures in stress urinary incontinence(SUI) patients, and we investigated the factors predicting the changes of storage symptoms. MATERIALS AND METHODS: From January 2000 to August 2003, 713 patients with SUI were operated on with using suburethral sling procedures(TVT). A follow-up study was conducted for over a one year period with 495 patients. We analyzed the one year outcomes of TVT surgeries and the changes of storage symptoms after TVT. RESULTS: The rates of cure and improvements at one year after TVT were 80.8% and 12.3%, respectively. At one month after TVT, 59 of 180(33%) patients with urgency before TVT were improved, and 60 of 72(83.6%) patients with urgency incontinence before TVT were improved. In 86 of 180(47.8%) patients, the urgency is improved, and in 65 of 72(90.1%) patients, the urgency incontinence disappeared at one year after TVT procedure. Urgency developed in 65 of the 243(26.9%) patients who had no urgency before TVT, but after 1 year, only 28(10.2%, 25/243) these 243 patients had urgency. 102(31.6%) of the patients with frequency before TVT were improved after TVT. Of the 92 patients with nocturia, 22 (23.4%) patients were improved. There were no statically significant factors predicting the changes of the storage symptoms. CONCLUSIONS: The total improvement rate (cure+improvements) of stress urinary incontinence was 93.1% at one year. We can expect the improvement of urgency(47.1%) and urgency incontinence(90.1%) after TVT procedures, but not improvement of the frequency and nocturia.
