Management of recurrent or persistent stress urinary incontinence after TVT-O by mesh readjustment.
OBJECTIVE
The aim of this study was to evaluate, retrospectively, the place of sub-urethral mesh readjustment when treating recurrent stress urinary incontinence (SUI) after TVT-O.


METHODS
Between August 2006 and August 2008, eight patients had recurrent or persistent SUI. They were treated surgically by tightening the pre-implanted sling.


RESULTS
Medium delay between first surgery and mesh adjustment was 6 months. One patient needed a second TVT-O for rupture of the pre-implanted mesh during adjustment. Among the seven patients who underwent a mesh readjustment, three were cured, three improved, there was one failure. Mean follow-up was 25 months.


CONCLUSIONS
The sub-urethral mesh readjustment is a simple and safe procedure for patients with recurrent SIU after TVT-O procedure. Success rates are high, surgery minimally invasive but long-term follow-up is needed to evaluate efficiency.
de Landsheere
Laurent
L
Department of Obstetrics and Gynecology, CHR La Citadelle, Boulevard du 12e de ligne n°1, 4000 Liège, Belgium. ldelandsheere@chu.ulg.ac.be
Lucot
Jean Philippe
JP
Foidart
Jean Michel
JM
Cosson
Michel
M
D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D053825:Suburethral Slings; D013526:Surgical Mesh; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods