title: Usefulness of retropubic tape for recurrent stress incontinence after transobturator tape failure.
abstract: OBJECTIVE
  This study was conducted to evaluate the effectiveness and safety of retropubic suburethral slings (TVT) to treat recurrent stress urinary incontinence (SUI) after transobturator tape (TOT) failure.
  
  
  METHODS
  A descriptive study was performed among women with recurrent SUI treated at the Vall d'Hebron University Hospital between January 2006 and December 2009. All women were preoperatively evaluated to rule out complications of the first sling. Urodynamic testing was performed before and after the TOT procedure in all cases. Postoperative follow-up was performed at 1, 6, and 12 months and yearly thereafter. Outcomes were classified as cured, improved, or failed.
  
  
  RESULTS
  Twenty-three women were operated on over the study period. The median time to reoperation was 12 months (range 6 to 34 months) and the median follow-up time was 36.1 months (range 7.8 to 60.2 months). Overall cure and improvement rates were 86.4% at 12 and 24 months and 75% at 36 months. Failure was found not to be related to time between both sling surgeries. Two cases of bladder perforation were recorded (8.7%). Postoperative complications were slight and self-limited. De novo urgency occurred in five cases (21.7%).
  
  
  CONCLUSIONS
  TVT has been found to be effective to treat recurrent SUI after TOT failure in the present series with slight side effects.
authors: Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035 Barcelona, Spain. jsabadga@yahoo.es
authors: Jordi
authors: J
authors: Sabadell
authors: Jose L
authors: JL
authors: Poza
authors: Antonio
authors: A
authors: Esgueva
authors: Juan C
authors: JC
authors: Morales
authors: Jose L
authors: JL
authors: Sánchez-Iglesias
authors: Jordi
authors: J
authors: Xercavins
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D055502:Secondary Prevention; D053825:Suburethral Slings / Q000009:adverse effects; D017211:Treatment Failure; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology