Tension-free vaginal tape for surgical treatment of stress urinary incontinence: two years follow-up.
BACKGROUND
The objective was to study prospectively the effectiveness of tension-free vaginal tape as an ambulatory and minimal invasive operation for the treatment of female stress incontinence.


METHODS
The tension-free vaginal tape procedure was performed in 25 patients with genuine stress incontinence and they were followed for a 2-year period. All patients were diagnosed with urodynamics to have genuine stress incontinence. Pad tests, cough stress test and quality-of-life assessments were carried out in all patients, both preoperatively and postoperatively. The majority of the women were discharged the morning after the surgical procedure.


RESULTS
Twenty of 25 (80%) patients were found to be cured 2 years after the operation. The vaginal tape was spontaneously dropped out from the vagina in one patient 2 weeks after the procedure. We did not see such a complication in previous studies.


CONCLUSIONS
We conclude that the tension-free vaginal tape procedure is both a safe and effective method to cure genuine female stress incontinence. Furthermore, it can be performed as an ambulatory procedure under local anesthesia with a short operative time.
Perk
Hakki
H
Department of Urology, Süleyman Demirel University, Isparta, Turkey. haperk@med.sdu.edu.tr
Soyupek
Sedat
S
Serel
T Ahmet
TA
Koşar
Alim
A
Sayin
Adnan
A
Hoşcan
M Burak
MB
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use*; D011183:Postoperative Complications; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000379:methods; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000473:pathology / Q000601:surgery
D011126:Polypropylenes