[Surgical management of chronic refractory pain after TVT treatment for stress urinary incontinence].
OBJECTIVE
To evaluate the results of surgical treatment of iatrogenic pelviperineal pain following TVT treatment for stress urinary incontinence (SUI).


METHODS
Eight patients developed chronic pain after TVT that was refractory to symptomatic medical treatment. Pain was characterized by clinical interview and clinical examination and an aetiological assessment demonstrated the role of TVT in pathogenesis of the pain. TVT was removed by open surgery or by laparoscopy. Pain and continence were evaluated postoperatively.


RESULTS
TVT was completely (n = 3) or partially (n = 5) removed. With a mean follow-up of 31 months, no patient has experienced pain recurrence. Five patients have remained continent and 3 patients were treated for recurrent urinary incontinence.


CONCLUSIONS
Although medical treatment may be disappointing, surgical resection provides good results on refractory pain, but preservation of continence is inconstant.
Misrai
Vincent
V
Service d'Urologie et de transplantation rénale et pancréatique, Hôpital de la Pitié, Paris, France. v.misrai@free.fr
Chartier-Kastler
Emmanuel
E
Cour
Florence
F
Mozer
Pierre
P
Almeras
Christophe
C
Richard
François
F
D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology* / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D019736:Prostheses and Implants; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*