The tension-free vaginal tape procedure: correction of stress incontinence with minimal alteration in proximal urethral mobility

Prognostic value of urethral mobility and valsalva leak point pressure for female transobturator sling procedure

“…Additionally, previous reports demonstrate that correction of hypermobility is not required to obtain continence either for retropubic or transobturator sling procedure (14,22).…”

Management of Stress Urinary Incontinence in Women with the Use of Tension–Free Vaginal Tape

“…This tape induces changes in the paraurethral connective tissue metabolism, improving paraurethral connective tissue properties, which subsequently may reinforce the pubourethral ligament and the suburethral vaginal hammock and achieve a long–term cure [5, 6]. Recent studies have suggested that the TVT operation works without affecting proximal urethral mobility [11, 12]and conclude that the cure of stress incontinence does not require the correction of proximal urethral hypermobility [11]. In this study we have found a success rate of 90% at 24 months’ follow–up in patients with cystocele stage I according to ICSC, while the success rate at 24 months’ follow–up in patients with cystocele stage II or more is 88.8%.…”

The Tension–Free Transvaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence: A French Prospective Multicentre Study

“…Failures of TVT apparently occur 3–6 months postoperatively, especially in cases of severe ISD without urethral hypermobility, with a negative Bonney test, a rigid fixed urethra and wide bladder neck [12, 13]. A study on UVJ hypermobility assessed by a pre– and postoperative Q–tip test in patients who underwent the TVT procedure showed that hypermobility is not always corrected by TVT, even if incontinence is cured [22]. In our aforementioned postoperative data, the UVJ hypermobility was corrected in all the cases reported.…”