title: Patient-reported outcomes for tension-free vaginal tape-obturator in women treated with a previous anti-incontinence procedure.
abstract: Our purpose was to evaluate the outcome of a subset of patients that had a tension-free vaginal tape-obturator (TVT-O) placed following a previous anti-incontinence procedure. We performed a retrospective analysis of 27 consecutive women who had a TVT-O placed from January 2004 to December 2007. Patients were given the Patient Global Impression of Improvement (PGI-I) questionnaire starting at the 3-month follow-up. Of 174 women who had a TVT-O placed, 27 (15.5%) had a prior failed anti-incontinence procedure or surgery performed. The mean age was 63.8 years (range 43-87). Mean follow-up was 25.7 months (range 12-47 months). Based on the PGI-I, the overall success rate was 80% (20/25). In the properly selected patients with prior intervention for stress urinary incontinence (SUI), the success rate for TVT-O of 80% appears to be comparable to that of patients who never had a previous surgical or minimally invasive treatment for SUI.
authors.affiliation: NYU Medical Center, New York, NY, USA. graceybiggs@yahoo.com
authors.forename: Grace Y
authors.initials: GY
authors.lastname: Biggs
authors.forename: Katie N
authors.initials: KN
authors.lastname: Ballert
authors.forename: Nirit
authors.initials: N
authors.lastname: Rosenblum
authors.forename: Victor
authors.initials: V
authors.lastname: Nitti
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D017211:Treatment Failure; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*