Tension-free vaginal tape in the management of recurrent stress incontinence.
METHODS
Thirty-three patients with failed previous incontinence surgery had a Tension-free vaginal tape (TVT) inserted. Preoperative evaluation included uroflow, filing and voiding cystometry, urethral profilometry and a Q-tip test. Factors assessed postoperatively included cure, improvement or failure rates at 20.5 months follow-up, complications, and preoperative and postoperative values of a Q-tip test.


RESULTS
The overall success rate was 70% at a mean of 20.5 months follow up (range 12-29 months). In patients with sufficient preoperative mobility of urethra the success rate was 90%, while in patients with a fixed urethra preoperatively the success rate was 33%.
Liapis
A
A
2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, Vas. Sofias Avenue 76, Athens, Greece. eurotas@ath.forthnet.gr
Bakas
P
P
Lazaris
D
D
Creatsas
G
G
D005260:Female; D006801:Humans; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D014521:Urethra / Q000503:physiopathology / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery*