title: What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation.
abstract: OBJECTIVE
  Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape.
  
  
  METHODS
  A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted.
  
  
  RESULTS
  At a median follow-up of 12 months, subjective and objective cure rate were 85% and 77%, respectively. Thirty percent of the women developed de novo detrusor overactivity that responded to antimuscarinic treatment. Long-term voiding difficulty was observed in only one patient, who performed clean intermittent self-catheterization for 3 months. Posterior vaginal wall prolapse requiring pelvic floor repair was found in three women (23%) postoperatively.
  
  
  CONCLUSIONS
  Open colposuspension is an effective option for treating persistent or recurrent stress urinary incontinence after failed midurethral tape, with a high success rate.
authors.affiliation: Department of Urogynaecology, King's College Hospital, Denmark Hill, London SE5 9RS, UK. ilias.giarenis@nhs.net
authors.forename: Ilias
authors.initials: I
authors.lastname: Giarenis
authors.forename: Heleni
authors.initials: H
authors.lastname: Mastoroudes
authors.forename: Linda
authors.initials: L
authors.lastname: Cardozo
authors.forename: Dudley
authors.initials: D
authors.lastname: Robinson
mesh_terms: D000328:Adult; D000368:Aged; D003127:Colposcopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D017211:Treatment Failure; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology