title: Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement.
abstract: 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.
authors.affiliation: Department of Urology, UC Davis Medical Center, Sacramento, California 95817, USA. jonathan.eandi@ucdmc.ucdavis.edu
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Eandi
authors.forename: Stacy T
authors.initials: ST
authors.lastname: Tanaka
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Hellenthal
authors.forename: R Corey
authors.initials: RC
authors.lastname: O'Connor
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Stone
mesh_terms: 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