title: Concomitant tension-free vaginal tape for urinary incontinence during laparoscopic hysterectomy.
abstract: OBJECTIVE
  To evaluate the effectiveness and safety of placing tension-free vaginal tape (TVT) during a laparoscopically assisted vaginal hysterectomy (LAVH) in women with stress urinary incontinence and coexistent benign gynaecological disease.
  
  
  METHODS
  Retrospective clinical study (Canadian Task Force classification II-2).
  
  
  METHODS
  Thirty patients diagnosed with genuine stress incontinence and benign gynaecological disease were studied.
  
  
  METHODS
  All the patients underwent LAVH and concomitant TVT procedure.
  
  
  RESULTS
  There was no significant difference in urodynamic parameters before and after surgery. All patients were followed postoperatively for a mean duration of 24.6 +/- 11.5 months (range 12-40). The cure rate of stress urinary incontinence was 96.7%.
  
  
  CONCLUSIONS
  Concomitant placement of tension-free vaginal tape during a laparoscopically assisted vaginal hysterectomy proved to be an efficacious and safe procedure for women with benign gynaecological disease and coexistent stress urinary incontinence.
authors: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
authors: Yi-Hao
authors: YH
authors: Lin
authors: Ching-Chung
authors: CC
authors: Liang
authors: Tsia-Shu
authors: TS
authors: Lo
authors: Yung-Kuei
authors: YK
authors: Soong
authors: Shuenn-Dhy
authors: SD
authors: Chang
authors: Yao-Lung
authors: YL
authors: Chang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D014014:Tissue Adhesives; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014591:Uterine Diseases / Q000150:complications / Q000601:surgery; D014621:Vagina / Q000601:surgery*
chemical_list: D014014:Tissue Adhesives