Résultats à trois ans de la prise en charge d'une incontinence urinaire d'effort avec pression de clôture urétrale basse par fronde sous-urétrale TVT

Sergent, F.; Popovic, I.; Grise, P.; Leroi, A.-M.; Marpeau, L.

doi:10.1016/j.gyobfe.2006.06.014

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…Low MUCP as a prognostic factor was reported by other study [11] and Liapis et al [3] reported low success rate in women with 'fixed' urethra. These results mean that adequate cooptation or mobility of the urethra is important for a successful outcome of the procedure.…”

Section: Discussionmentioning

confidence: 67%

Long-term Outcomes of Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency

et al. 2012

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PurposeTo assess the long-term outcomes of tension-free vaginal tape (TVT) for stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD) and to identify influencing factors for failure in these cases.MethodsA total of 136 women who underwent TVT procedures with minimum follow-up duration of 3 years were included in the study. Patients were divided into two groups (non-ISD and ISD groups) based on preoperative urodynamic studies. Patient outcomes were assessed from retrospective chart review and telephone research. Cure was defined as the subjective resolution of SUI in any circumstances. Improvement was defined as the subjective improvement of SUI without complete resolution. Failure was defined as the subjective lack of improvement of SUI. Patients in ISD group were subdivided into two subgroups (cure and non-cure groups) and were compared to identify influencing factors for TVT procedure failure.ResultsEighty-nine patients were in non-ISD group, and 47 in ISD group. The mean follow-up durations were 50.3±9.2 and 49.7±9.7 months, respectively. Subjective cure rate was 75.3% for non-ISD group, and 76.7% for ISD group (P>0.05). Improvement rate was 6.7% for non-ISD group, and 2.1% for ISD group (P>0.05). Satisfaction scores was 3.8±1.2 points in the non-ISD group, and 3.5±1.2 points in ISD group (P>0.05). In ISD subgroups, VLPP was 41.9±12.0 cmH2O for non-cure group, and 50.5±8.6 cmH2O for cure group, and was the only factor that showed significant statistical difference between the two subgroups (P=0.011).ConclusionsWith our long-term results, TVT is an effective treatment even in women with ISD. However, ISD patients with low VLPP should be counseled carefully about TVT outcome.

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Section: Discussionmentioning

confidence: 67%

Long-term Outcomes of Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency

et al. 2012

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“…Dans le cas contraire, le risque est d'entraîner ces femmes vers des échecs de leur cure d'IUE avec une prise en charge qui pourrait alors devenir particulièrement complexe. De plus, la répétition des actes chirurgicaux est classiquement impliquée dans la détérioration progressive de la fonction sphinctérienne [11]. Ici la colposuspension rétropubienne, justifiée par l'exposition prothétique de la dernière BSU et l'opportunité de la voie d'abord de la ligature tubaire, était inadaptée du fait de l'insuffisance sphinctérienne.…”

Section: Discussionunclassified

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

Sergent

Marpeau

2007

Gynécologie Obstétrique & Fertilité

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The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women

et al. 2008

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This study examines the safety of the inside-out transobturator approach for transvaginal tape (TVT-O, Gynaecare) treatment in stress urinary incontinence (SUI) in women based on a French registry of patients. A total of 984 women from 86 centres were enrolled in the study. Patients with predominant overactive bladder or significant pelvic organ prolapse were excluded from the study. Perioperative and post-operative complications were reported as well as urinary function at 4 and 12 weeks. Pain was assessed by the patients using a visual analog scale (VAS). The overall perioperative complication rate was 2.2%. The most commonly reported morbidities were vaginal wall perforation (1.3%) followed by haematoma (0.7%). Post-operative complication rate was 5.2%; the most common complication was residual pain (2.7%). The other complications of paravesical haematoma, urinary retention, vaginal erosion and re-intervention had an incidence of less than 1.0%. This study demonstrates that the transobturator transvaginal tape approach to the treatment of SUI is a safe procedure.

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Résultats à trois ans de la prise en charge d'une incontinence urinaire d'effort avec pression de clôture urétrale basse par fronde sous-urétrale TVT

Cited by 5 publications

References 24 publications

Long-term Outcomes of Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency

Long-term Outcomes of Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women

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