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[Repair of female urinary incontinence with prolene "TVT": preliminary results of a multicenter and prospective survey].
Prog Urol. 2000 Sep; 10(4):622-8.PU

Abstract

OBJECTIVES

A multicentre, prospective study (6 private centres, 1 general hospital and 1 teaching hospital) was conducted to evaluate the perioperative morbidity and short-term functional results of the TVT procedure in the treatment of the female urinary stress incontinence.

PATIENTS AND METHODS

From November 1996 to September 1999, 120 patients with a mean age of 65.2 years (range: 37-91) were operated according to the tension-free vaginal tape (TVT) technique for isolated urinary stress incontinence (stage 2 or 3) in 94 cases and associated with pelvic tone disorder in 26 cases. 59 patients (49.2%) presented recurrence of urinary incontinence that had already been operated between 1 and 4 times. Physical examination demonstrated hypermobility of the urethra in 73 cases (60.8%), isolated clinical sphincter incompetence in 47 cases (39.2%) and pelvic tone disorders in 31 cases. Urodynamic studies, performed in 113 patients, demonstrated sphincter incompetence in 65 cases (57.5%) with a mean maximum urethral closure pressure of 18 cmH2O (range: 5-29).

RESULTS

The operation, performed under spinal anaesthesia in 97 cases (80.8%), general anaesthesia in 16 cases (13.3%) and local anaesthesia in 7 cases (5.8%) lasted an average of 28.7 min (range: 15-60) for insertion of the TVT. Perioperative complications consisted of twelve bladder injuries (10%) and two pelvic haematomas (1.7%). No cases of infection, erosion or migration of the tape were reported. In the group of 94 patients operated exclusively by TVT, the mean hospital stay was 2.6 days (range: 1-7). Twelve patients (10%) required self-catheterization for 2 to 30 days. With a mean follow-up of 15.2 months (range: 36-6), continence was restored in 104 patients, corresponding to a cure rate of 86.7%. A marked improvement was obtained in 11 cases (9.2%) and five cases (4.2%) were considered to be failures.

CONCLUSION

The TVT procedure is a new approach to the treatment of female urinary stress incontinence. Its advantages are its simplicity, the rapidity of the technical procedure and the short-term efficacy on continence. A longer follow-up is essential to assess to the functional outcome and the long-term urethral tolerance.

Authors+Show Affiliations

Service de Chirurgie Urologique et d'Andrologie, CHU de Rangueil, Toulouse, France. soulié.m@chu-toulouse.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Multicenter Study

Language

fre

PubMed ID

11064912

Citation

Soulié, M, et al. "[Repair of Female Urinary Incontinence With Prolene "TVT": Preliminary Results of a Multicenter and Prospective Survey]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 10, no. 4, 2000, pp. 622-8.
Soulié M, Delbert-Julhes F, Cuvillier X, et al. [Repair of female urinary incontinence with prolene "TVT": preliminary results of a multicenter and prospective survey]. Prog Urol. 2000;10(4):622-8.
Soulié, M., Delbert-Julhes, F., Cuvillier, X., Mouly, P., Thanwerdas, J., Dufeuil, P., Larroque, J. M., Bernstein, J., Soulié, R., Chemasle, C., Brucher, P., Vazzoler, N., Seguin, P., Pontonnier, F., & Plante, P. (2000). [Repair of female urinary incontinence with prolene "TVT": preliminary results of a multicenter and prospective survey]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 10(4), 622-8.
Soulié M, et al. [Repair of Female Urinary Incontinence With Prolene "TVT": Preliminary Results of a Multicenter and Prospective Survey]. Prog Urol. 2000;10(4):622-8. PubMed PMID: 11064912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Repair of female urinary incontinence with prolene "TVT": preliminary results of a multicenter and prospective survey]. AU - Soulié,M, AU - Delbert-Julhes,F, AU - Cuvillier,X, AU - Mouly,P, AU - Thanwerdas,J, AU - Dufeuil,P, AU - Larroque,J M, AU - Bernstein,J, AU - Soulié,R, AU - Chemasle,C, AU - Brucher,P, AU - Vazzoler,N, AU - Seguin,P, AU - Pontonnier,F, AU - Plante,P, PY - 2000/11/7/pubmed PY - 2001/2/28/medline PY - 2000/11/7/entrez SP - 622 EP - 8 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 10 IS - 4 N2 - OBJECTIVES: A multicentre, prospective study (6 private centres, 1 general hospital and 1 teaching hospital) was conducted to evaluate the perioperative morbidity and short-term functional results of the TVT procedure in the treatment of the female urinary stress incontinence. PATIENTS AND METHODS: From November 1996 to September 1999, 120 patients with a mean age of 65.2 years (range: 37-91) were operated according to the tension-free vaginal tape (TVT) technique for isolated urinary stress incontinence (stage 2 or 3) in 94 cases and associated with pelvic tone disorder in 26 cases. 59 patients (49.2%) presented recurrence of urinary incontinence that had already been operated between 1 and 4 times. Physical examination demonstrated hypermobility of the urethra in 73 cases (60.8%), isolated clinical sphincter incompetence in 47 cases (39.2%) and pelvic tone disorders in 31 cases. Urodynamic studies, performed in 113 patients, demonstrated sphincter incompetence in 65 cases (57.5%) with a mean maximum urethral closure pressure of 18 cmH2O (range: 5-29). RESULTS: The operation, performed under spinal anaesthesia in 97 cases (80.8%), general anaesthesia in 16 cases (13.3%) and local anaesthesia in 7 cases (5.8%) lasted an average of 28.7 min (range: 15-60) for insertion of the TVT. Perioperative complications consisted of twelve bladder injuries (10%) and two pelvic haematomas (1.7%). No cases of infection, erosion or migration of the tape were reported. In the group of 94 patients operated exclusively by TVT, the mean hospital stay was 2.6 days (range: 1-7). Twelve patients (10%) required self-catheterization for 2 to 30 days. With a mean follow-up of 15.2 months (range: 36-6), continence was restored in 104 patients, corresponding to a cure rate of 86.7%. A marked improvement was obtained in 11 cases (9.2%) and five cases (4.2%) were considered to be failures. CONCLUSION: The TVT procedure is a new approach to the treatment of female urinary stress incontinence. Its advantages are its simplicity, the rapidity of the technical procedure and the short-term efficacy on continence. A longer follow-up is essential to assess to the functional outcome and the long-term urethral tolerance. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/11064912/[Repair_of_female_urinary_incontinence_with_prolene_"TVT":_preliminary_results_of_a_multicenter_and_prospective_survey]_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -