Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement

OBJECTIVE: To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure. MATERIALS AND METHODS: Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes. RESULTS: All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve. CONCLUSIONS: TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.

Bibliographic Details

Main Authors:	Eandi,Jonathan A., Tanaka,Stacy T., Hellenthal,Nicholas J., O'Connor,R. Corey, Stone,Anthony R.
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Urologia 2008
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000300011
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