[Clinical observation of tension-free vaginal tape procedure as a new surgical treatment method for female urinary incontinence].
OBJECTIVE
To study the clinical effect of tension-free vaginal tape (TVT) procedure as a new surgical treatment method for female urinary incontinence.


METHODS
The outcome of 23 TVT procedures for female urinary incontinence was retrospectively analyzed from May 2001 to Feb 2003.


RESULTS
Out of the 23 cases recruited into this study, 18 (78%) had stress urinary incontinence (SUI), and 5 (22%) had SUI with mixed motorurge urinary incontinence (MUI). One (4%) case was changed to Kelly's operation intraoperatively. The success rate of TVT was 96% (22/23). Twenty (91%) of the 22 women were completely cured without any complications. Two patients had dysuria caused by MUI and infection, respectively, and recovered after bladder catheterization, and exercising bladder and medication therapy. The average time of TVT procedure was 49 min. The cure rate was 100%.


CONCLUSIONS
The TVT procedure is a simple, safe and effective, minimally invasive operation for female SUI. Prevention and control of infection, and proper adjustment of TVT tension are the keys to avoid urinary retention after operation. SUI with MUI is not an absolute contraindication for TVT.
Luo
Xin
X
Department of Obstetrics and Gynecology, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
D000328:Adult; D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003558:Cystoscopy; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D014521:Urethra; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries; D014549:Urinary Incontinence / Q000601:surgery*; D014555:Urination Disorders / Q000188:drug therapy / Q000209:etiology; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014621:Vagina / Q000601:surgery*
D000890:Anti-Infective Agents