title: Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes.
abstract: OBJECTIVE
  The aim of this paper was to evaluate the short-term outcomes of tension-free vaginal tape procedures in female stress urinary incontinence with intrinsic sphincter deficiency, and to identify possible effective factors for cure rate of this treatment.
  
  
  METHODS
  Forty-nine women who underwent tension-free vaginal tape procedures due to urodynamically proven stress urinary incontinence with intrinsic sphincter deficiency were included in this study. All women were followed up at 6 months postoperatively. Outcomes were evaluated by cough/Valsalva stress test, incontinence-related quality of life forms (Incontinence Impact Questionnaire and Urogenital Distress Inventory). Procedure-related complications were noted. Multivariable regression was used to identify the odds for poor surgical outcome.
  
  
  RESULTS
  In 49 patients, postoperative quality of life scores decreased significantly as compared with preoperative scores. Forty-one (83.7%) patients were found as cured, while 3 (6.1%) women were in failure. The complaints decreased in 5 (10.2%) women, postoperativeley. Low maximal urethral clossure pressure measured by urodynamics was found as a significant effective factor for poor surgical outcome.
  
  
  CONCLUSIONS
  Tension-free vaginal tape is an effective minimal invasive surgical procedure with low complication incidence for female stress urinary incontinence with intrinsic sphincter deficiency in short term. However, intrinsic sphincter deficiency patients with low maximal urethral closure pressure should be informed preoperatively about possible poor outcomes.
authors.affiliation: Dr Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey - k.kokanal@yahoo.com.tr.
authors.forename: M
authors.initials: M
authors.lastname: Kuntay Kokanali
authors.forename: S
authors.initials: S
authors.lastname: Cavkaytar
authors.forename: H
authors.initials: H
authors.lastname: Onur Topçu
authors.forename: U
authors.initials: U
authors.lastname: Ceran
authors.forename: O
authors.initials: O
authors.lastname: Aksakal
authors.forename: M
authors.initials: M
authors.lastname: Doğanay
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000209:etiology; D001745:Urinary Bladder Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods