Clinical observation of tension-free vagina l tape procedure as a new surgical treatment method for female urinary incontine nce
- VernacularTitle:阴道无张力尿道中段悬吊术治疗女性尿失禁的临床观察
- Author:
Xin LUO
- Publication Type:Journal Article
- Keywords:
Urinary incontinence, stress;
Urethra;
Fe male
- From:
Chinese Journal of Obstetrics and Gynecology
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of tension-free vaginal tape (TVT) procedure as a new surgical treatment method for female urinary incontinence. Methods The outcome of 23 TVT procedures for female urinary incontinence was retrospecti vely analyzed from May 2001 to Feb 2003. Results Out of the 23 cases recruited into this study, 18 (78%) had stress urinary incon tinence (SUI), and 5 (22%) had SUI with mixed motorurge urinary incontinence (MU I). One (4%) case was changed to Kelly′s operation intraoperatively. The success rate of TVT was 96% (22/23). Twenty (91%) of the 22 women were comple tely cured without any complications. Two patients had dysuria caused by MUI a nd infection, respectively, and recovered after bladder catheterization, and exe rcising bladder and medication therapy. The average time of TVT procedure was 49 min. The cure rate was 100%. Conclusions The TVT procedure is a simple, safe and effec tive, minimally invasive operation for female SUI. Prevention and control of in fection, and proper adjustment of TVT tension are the keys to avoid urinary ret ention after operation. SUI with MUI is not an absolute contraindication for TV T.
