Tension-Free Vaginal Tape Procedure: An Effective Minimally Invasive Operation for the Treatment of Recurrent Stress Urinary Incontinence?

Abstract

The aim of this study was to evaluate the results of tension-free vaginal tape (TVT) surgery in women with recurrent stress urinary incontinence (SUI). Fifty-one women with recurrent SUI were treated with TVT and followed prospectively for a minimum of 2 years according to a protocol. Twenty percent of the women had already undergone two previous continence procedures, whereas 80% had undergone only one. The mean follow-up period was 25.3 months. The objective cure rate was 89.6%, and the subjective cure rate 80.4%. No serious complications occurred. The majority of the patients were discharged in the afternoon of the operation day. No significant difference was observed between pre- and postoperative residual urine, maximal urethral closure pressure, and total and maximum voided urine volume values. However, the changes in urinary frequency, minimum voided volume, pad test results, and visual analog scale scores were highly significant. TVT appears to be a safe and suitable treatment for recurrent SUI.

Effectiveness of midurethral slings in recurrent stress urinary incontinence: a systematic review and meta-analysis

“…1 summarises the flow for study selection in this systematic review. There was 1 RCT [4] and 11 prospective studies [5][6][7][8][9][10][11][12][13][14][15] with a total of 430 participants between 23 and 87 years of age (see Table 1 for details of included studies). There were nine non-comparative studies, eight of which described effectiveness of TVT and one used TOT (see Table 1).…”

“…The interval between primary and repeat surgery ranged from 6 weeks to 48 months. Previous surgery included Burch colposuspension, Kelly plication, Marshall-MarchettiKrantz procedure (MMK), Stamey needle suspension, Pereyra's operation, MUS, conventional slings and paraurethral collagen injection in eight studies [4][5][6][7][8][9][10][11], while four studies [12][13][14][15] included women with previous failed MUS only.…”

“…The instruments used to assess outcomes were satisfactorily described in ten studies. The outcome was assessed as overall cure in the majority of studies [5-10, 14, 15], while subjective and objective components were assessed separately in some studies [4,[11][12][13]. The follow-up was described in all of them and ranged from 1 month to 12 years and it was adequate (>80 %) in all 11 studies.…”

A randomized trial comparing TVT with TVT-O: 12-month results

“…The results of the TVT procedure is well documented, including high success rates in primary [3], recurrent [4], and mixed [5] incontinence cases. Long-term results are good [6] and registries showing low rates of complications have been established [7,8].…”

An adjustable sling in the management of recurrent urodynamic stress incontinence after previous failed midurethral tape

“…We consider it important to report our experiences despite the small number and the mixed outcome as there is no clear guidance on which approach would offer the best outcome. This is a non-comparative study; Kuuva 28 has found equally good findings with the classical TVT procedure in 51 patients with recurrent stress incontinence. The objective and subjective cure rate was 90 and 80%, respectively.…”