Early Clinical Outcome and Complications of Tension Free Vaginal Tape Procedure in Stress Incontinent Women.
- Author:
Seong Kyoo CHOI
;
Jong Min YUN
;
You Sik LEE
- Publication Type:Original Article
- Keywords:
Stress incontinence;
Tension free vaginal tape (TVT);
Female
- MeSH:
Cystocele;
Female;
Follow-Up Studies;
Humans;
Length of Stay;
Obturator Nerve;
Physical Examination;
Surveys and Questionnaires;
Suburethral Slings*;
Urinary Bladder;
Urinary Incontinence;
Urinary Incontinence, Urge;
Urodynamics
- From:Korean Journal of Urology
2001;42(6):589-593
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of the study was to evaluate the clinical outcome and complications of tension free vaginal tape (TVT) procedure for the surgical treatment of female stress urinary incontinence. MATERIALS AND METHODS: Between April 1999 and May 2000, 41 women with stress urinary incontinence underwent TVT procedure. Preoperative evaluation included questionnaires study, physical examination, one hour pad test and urodynamic study. Postoperative clinical outcome, patient's satisfaction and complications were checked after 3-months. RESULTS: The mean age of patients was 51.6 years (range 40-76) and mean hospital stay 2.1 days (range 1-10). The mean follow-up period was 9.9 months (range 3-15). Thirty six patients (87.8%) were cured, 2 patients (4.9%) were improved. Two of 3 patients with failed operation who developed postoperative urge incontinence had grade III cystocele. Five bladder perforations and 1 obturator nerve injury occurred. The abdominal leak point pressure (LPP) increased from 50.6cmH20 to 110.8cmH2O, detrusor pressure of maximal flow rate (Pdet.Qmax) increased from 15.8cmH2O to 28.6cmH2O and maximal flow rate (Qmax) decreased from 32.8ml/s to 22.5ml/s after operation. CONCLUSIONS: The TVT procedure is an effective and feasible surgical treatment for female stress urinary incontinence. However, in patients with grade III cystocele, postoperative urge incontinence may develop after the procedure. Since TVT procedure involves securing the mid-urethra, urinary obstruction may also occur, necessitating the need for continued follow-up as well as a careful comparison with other sling procedure.
