title: Pre-pubic TVT: an alternative to classic TVT in selected patients with urinary stress incontinence.
abstract: OBJECTIVE
  To evaluate in a prospective open study a pre-pubic route of TVT for surgical treatment of female stress incontinence.
  
  
  METHODS
  Consecutively, 74 patients were operated using a pre-pubic TVT tape application. All women were suffering subjectively and objectively from female stress urinary incontinence. The mean post-operative follow-up time was 5 months (range 2-10 months). The pre- and post-operative evaluations were performed according to a standard protocol.
  
  
  RESULTS
  According to the protocol, 60 patients (81%) were cured of their stress incontinence symptoms. Another 10 patients (13%) were improved. Four patients (6%) were considered failures. There were no significant intra- or post-operative complications.
  
  
  CONCLUSIONS
  The short-term results of pre-pubic TVT are consonant with those of classic TVT. The risks of intra-operative complications should be reduced by the pre-pubic route. If the long-term results of pre-pubic TVT are the same as those after classic TVT, then this surgical approach may be a tentative alternative in selected high-risk patients.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Amiens, 124 rue Camille Desmoulins, 80000 Amiens, France. nagibdaher@free.fr
authors.forename: N
authors.initials: N
authors.lastname: Daher
authors.forename: J C
authors.initials: JC
authors.lastname: Boulanger
authors.forename: U
authors.initials: U
authors.lastname: Ulmsten
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014621:Vagina / Q000601:surgery*