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The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery.
J Urol. 2001 Aug; 166(2):554-6.JU

Abstract

PURPOSE

The tension-free vaginal tape procedure is an increasingly popular choice for treating female urinary stress incontinence. This ongoing, prospective, open label study presents the results of tension-free vaginal tape surgery at 1 year in women who have previously undergone unsuccessful stress incontinence surgery.

MATERIALS AND METHODS

A total of 67 women with previous failed surgery for stress urinary incontinence underwent the tension-free vaginal tape procedure. Treatment outcome was categorized as cure, significant improvement or failure based on cystometry findings and urinary pad loss results at 3 months of followup, and on subjective questioning at 3 months and 1 year of followup.

RESULTS

At 12 months 54 women (81%) were cured, 4 (6%) were significantly improved and 9 (13%) were no better. No serious morbidity was noted after the procedure.

CONCLUSIONS

The tension-free vaginal tape procedure provides the prospect of a success rate similar to that of a conventional sling procedure in patients with previous failed surgery. It has a low rate of operative complications and postoperative morbidity.

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Authors+Show Affiliations

Azam U
Department of Urogynaecology, Warrington General Hospital, Cheshire and Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
Frazer MI
No affiliation info available
Kozman EL
No affiliation info available
Ward K
No affiliation info available
Hilton P
No affiliation info available
Rane A
No affiliation info available

MeSH

AdultAgedFemaleFollow-Up StudiesHumansMiddle AgedPolypropylenesProstheses and ImplantsReoperationTreatment FailureTreatment OutcomeUrethraUrinary Incontinence, Stress

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11458067

Citation

Azam, U, et al. "The Tension-free Vaginal Tape Procedure in Women With Previous Failed Stress Incontinence Surgery." The Journal of Urology, vol. 166, no. 2, 2001, pp. 554-6.
Azam U, Frazer MI, Kozman EL, et al. The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery. J Urol. 2001;166(2):554-6.
Azam, U., Frazer, M. I., Kozman, E. L., Ward, K., Hilton, P., & Rane, A. (2001). The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery. The Journal of Urology, 166(2), 554-6.
Azam U, et al. The Tension-free Vaginal Tape Procedure in Women With Previous Failed Stress Incontinence Surgery. J Urol. 2001;166(2):554-6. PubMed PMID: 11458067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery. AU - Azam,U, AU - Frazer,M I, AU - Kozman,E L, AU - Ward,K, AU - Hilton,P, AU - Rane,A, PY - 2001/7/18/pubmed PY - 2001/8/10/medline PY - 2001/7/18/entrez SP - 554 EP - 6 JF - The Journal of urology JO - J Urol VL - 166 IS - 2 N2 - PURPOSE: The tension-free vaginal tape procedure is an increasingly popular choice for treating female urinary stress incontinence. This ongoing, prospective, open label study presents the results of tension-free vaginal tape surgery at 1 year in women who have previously undergone unsuccessful stress incontinence surgery. MATERIALS AND METHODS: A total of 67 women with previous failed surgery for stress urinary incontinence underwent the tension-free vaginal tape procedure. Treatment outcome was categorized as cure, significant improvement or failure based on cystometry findings and urinary pad loss results at 3 months of followup, and on subjective questioning at 3 months and 1 year of followup. RESULTS: At 12 months 54 women (81%) were cured, 4 (6%) were significantly improved and 9 (13%) were no better. No serious morbidity was noted after the procedure. CONCLUSIONS: The tension-free vaginal tape procedure provides the prospect of a success rate similar to that of a conventional sling procedure in patients with previous failed surgery. It has a low rate of operative complications and postoperative morbidity. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/11458067/The_tension_free_vaginal_tape_procedure_in_women_with_previous_failed_stress_incontinence_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(05)65983-6 DB - PRIME DP - Unbound Medicine ER -