Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement.
OBJECTIVE
To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure.


METHODS
Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes.


RESULTS
All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve.


CONCLUSIONS
TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.
Eandi
Jonathan A
JA
Department of Urology, UC Davis Medical Center, Sacramento, California 95817, USA. jonathan.eandi@ucdmc.ucdavis.edu
Tanaka
Stacy T
ST
Hellenthal
Nicholas J
NJ
O'Connor
R Corey
RC
Stone
Anthony R
AR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D012647:Self-Assessment; D053825:Suburethral Slings / Q000009:adverse effects / Q000592:standards; D011795:Surveys and Questionnaires; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000517:prevention & control / Q000523:psychology / Q000601:surgery*; D014563:Urodynamics