Concomitant tension-free vaginal tape for urinary incontinence during laparoscopic hysterectomy.
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.
Lin
Yi-Hao
YH
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Liang
Ching-Chung
CC
Lo
Tsia-Shu
TS
Soong
Yung-Kuei
YK
Chang
Shuenn-Dhy
SD
Chang
Yao-Lung
YL
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*
D014014:Tissue Adhesives