Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement.

Eandi JA, Tanaka ST, Hellenthal NJ, O'Connor RC, Stone AR
Int Braz J Urol. 2008 34 (3): 336-42; discussion 343-4

PMID: 18601764 · DOI:10.1590/s1677-55382008000300011

OBJECTIVE - To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure.

MATERIALS AND METHODS - Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes.

RESULTS - All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve.

CONCLUSIONS - TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.

MeSH Terms (19)

Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Middle Aged Postoperative Complications Quality of Life Recurrence Reoperation Retrospective Studies Risk Factors Self-Assessment Suburethral Slings Surveys and Questionnaires Treatment Failure Urinary Incontinence, Stress Urodynamics

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