Tension-free vaginal tape: 162 cases in a district general hospital.
From March 1999 to July 2002 a prospective study was carried out of 162 consecutive cases of urodynamically confirmed stress and mixed incontinence who underwent the tension-free vaginal tape (TVT) procedure. Patients were followed up at 6 weeks and 6 months and with a quality of life questionnaire at 1 year. The intraoperative complication rate was 7.6% and the postoperative complication rate was 18.8%. The subjective cure rate for patients suffering from urodynamic stress incontinence was 85%, with a further 11% experiencing significant improvement in their symptoms. The subjective cure rate for patients with mixed incontinence was 88%, with a further 9% experiencing significant improvement. The TVT procedure appears to be safe and effective for both stress and mixed incontinence for up to three years in a district general hospital. Complications in the short term are uncommon and can be managed easily.
Allahdin
Sabeena
S
Department of Obstetrics and Gynaecology, Forth Park Hospital, Kirkcaldy, Scotland, UK. drallahdin@yahoo.com
McKinley
Carolyn
C
Mahmood
T A
TA
Lyth
D
D
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006767:Hospitals, District; D006769:Hospitals, General; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000706:statistics & numerical data*; D011183:Postoperative Complications; D011446:Prospective Studies; D011788:Quality of Life; D012606:Scotland / Q000453:epidemiology; D013526:Surgical Mesh / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000706:statistics & numerical data*; D014621:Vagina / Q000601:surgery