Follow-up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months

Kulseng‐Hanssen, Sigurd; Husby, Henrik; Schiøtz, Hjalmar A.

doi:10.1007/s00192-007-0449-y

Cited by 81 publications

(48 citation statements)

References 20 publications

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“…Furthermore, a resent study confirmed the cure rate after TVT procedure better in women with predominant stress incontinence and those with stress and urge incontinence equally than those with predominant urge incontinence [22]. Our study confirms that the success rate is considerably better in patients who undergo TOT for genuine SUI than for MUI.…”

Section: Discussionsupporting

confidence: 79%

Transobturatoric tape procedure for female stress urinary incontinence

et al. 2008

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To assess the efficacy and safety of the transobturatoric tape (TOT) procedure as a treatment for female stress urinary incontinence (SUI). All patients (n=191) who underwent TOT between May 2003 and December 2004 were studied retrospectively. The study protocol involved recording of preoperative and perioperative details and postoperative subjective evaluation. The subjective outcome was assessed with two questionnaires at a mean of 20 and 34 months after the operation. The mean operation time of the patients without concomitant procedure was 19 min. The complication rate was low and postoperative recovery quick. The follow-up visit was scheduled 2-3 months after the procedure. The objective outcome assessment was done at the hospital for 50% of the patients, and the other half of the patients were followed up by their own gynecologist. During the follow-up visit (n=151), 79% of the women were cured: 90% of the patients with genuine SUI and 60% of those with mixed urinary incontinence (MUI). The data of 40 patients was either not available from patients' private gynecologists or the patients had not undergone a follow-up visit at all. For the first subjective outcome assessment, participating patients (n=188) received a questionnaire. Three patients had died from unrelated causes during this follow-up. The response rate was 82.4%. Overall, 83.9% of the respondents reported significant improvement, of which 90.5% of the patients had genuine SUI and 70.0% of the patients had MUI, respectively. During the second outcome assessment, the response rate was 85.1% (160/188). At a mean of 34 months postoperatively, 87.5% of the patients reported significant improvement: 94.5% of the patients with genuine SUI and 72.0% of those with MUI. The incontinence operation through the transobturatoric route is a safe and effective treatment, especially for patients with pure SUI. The rate of continence was sustained during a follow-up of 34 months.

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Section: Discussionsupporting

confidence: 79%

Transobturatoric tape procedure for female stress urinary incontinence

et al. 2008

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“…The significance of the urgency incontinence component in MUI women on surgical results after TVT has also been verified in a study from KulsengHanssen et al from 2008 (52).…”

Section: Paper IImentioning

confidence: 76%

Long-term follow-up of the retropubic tension-free vaginal tape procedure

et al. 2013

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“…A score of 0 indicates no incontinence, while the highest scores mean that the woman experiences leakage so severe that urine runs down her legs more than once every day. Women with a score below 3 on either index have essentially the same incontinence-related quality of life as normal control women without incontinence [18].…”

Section: Introductionmentioning

confidence: 75%

Ten-year follow-up after conservative treatment of stress urinary incontinence

Schiøtz

Karlsen

Tanbo³

2008

Int Urogynecol J

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A follow-up study was done in 33 women 10 years after they had participated in a study on conservative treatment of stress urinary incontinence. The evaluation included a 24-h pad test, a short stress test, and two validated quality of life questionnaires. Currently, five women (15%) were still doing pelvic floor muscle training at least twice per week. During the interim, 15 (47%) women had undergone stress incontinence surgery, and 12 (80%) of these were continent. Among the 18 non-operated women, only one (6%) was continent. The difference is statistically highly significant (p < 0.0001). In conclusion, 10 years after conservative treatment of stress incontinence, 85% of the women had stopped conservative treatment, and 94% of those not operated were still incontinent. Significantly more of those who had undergone interval incontinence surgery were now continent.

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Follow-up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months

Cited by 81 publications

References 20 publications

Transobturatoric tape procedure for female stress urinary incontinence

Transobturatoric tape procedure for female stress urinary incontinence

Long-term follow-up of the retropubic tension-free vaginal tape procedure

Ten-year follow-up after conservative treatment of stress urinary incontinence

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