Correction of stress urinary incontinence in women using a free suburethral loop

Abstract

Aim. To evaluate the efficacy and safety of implantation of a free synthetic loop (Tension-free Vaginal Tape - TVT) in the treatment of stress urinary incontinence in women. Methods. Examined and operated were 80 patients suffering from stress urinary incontinence. Suburethral implantation of a free loop (sling) in 3 patients was performed using standard TVT kit, while in 77 - using the IVS kit (Intravagynal Sling), which has some design differences from the TVT kit. Results. The observation period ranged from 3 months to 5 years. According to a questionnaire survey designed by the authors, which includes 21 questions, the following results were obtained: good - in 72 (90%) patients, satisfactory - in 6 (7.5%), unsatisfactory - in 2 (2.5%) patients. According to uroflowmetry, after the conducted treatment the duration and volume of urination increased, the maximal urine flow rate decreased to the normal values. Conclusion. The operation of implantation of a free synthetic loop serves as a rational and effective treatment method for the correction of stress urinary incontinence in women without prolapse of the vaginal walls; the success of intervention largely depends on the proper selection of patients and on the surgical technique.

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“…Our experience confirmed the point of view of A.I. Neymark, who opined that an alternative way to decrease the complication rate was to follow the principle of using the most appropriate suburethral tape placement technique for each individual patient [6]. Specifically, using this principle allowed the author to lower the rate of complications down to 3%.…”

Complications after different surgical methods for suburethral implantation of polypropylene slings in women with stress urinary incontinence

“…Our experience confirmed the point of view of A.I. Neymark, who opined that an alternative way to decrease the complication rate was to follow the principle of using the most appropriate suburethral tape placement technique for each individual patient [6]. Specifically, using this principle allowed the author to lower the rate of complications down to 3%.…”