Three-year Outcome of the Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence.
- Author:
Seunghun SONG
1
;
Bumsik HONG
;
Myung Soo CHOO
Author Information
1. Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mschoo@amc. seoul.kr
- Publication Type:Original Article
- Keywords:
Stress urinary incontinence;
Long-term;
Tension-free vaginal tape
- MeSH:
Female*;
Humans;
Physical Examination;
Surveys and Questionnaires;
Suburethral Slings*;
Urinalysis;
Urinary Incontinence*;
Urodynamics
- From:Korean Journal of Urology
2003;44(4):307-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the 3 year results of the tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence. MATERIALS AND METHODS: Of 41 women that underwent the TVT procedure, between March 1999 and December 1999, for stress urinary incontinence, 30 were followed up for at least 3 years following surgery. The preoperative evaluations included a comprehensive medical history, a through physical examination, urinalysis, urine culture, voiding diary, 1-hour pad test and a complete multichannel urodynamic study, including valsalva leak point pressure (VLPP) and maximal urethral closing pressure (MUCP). Long-term evaluations were performed by questionnaires on the durability of surgical outcome and the patients' satisfaction of the procedure. RESULTS: Of the 30 patients followed-up, the tension-free vaginal tape procedure remained successful in 93.3% (cured 80%, improved 13.3%) 3 years after the procedure. Two patients, with a VLPP lower than 60cmH2O and a MUCP lower than 40cmH2O, failed to gain continence after the procedure. There were no serious or long-term complications related to the procedure. The satisfaction rates 1 and 3 years after the surgery were 90 and 86.6%, respectively. CONCLUSIONS: We consider the TVT procedure to be an effective treatment for stress urinary incontinence, with long-term durability of continence and minimal complications related to the surgery.
