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United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability.
Tech Urol. 2001 Dec; 7(4):261-5.TU

Abstract

PURPOSE

The tension-free vaginal tape (TVT) procedure is an operation for treatment of stress urinary incontinence. A polypropylene mesh tape is placed to support the midurethra through a small vaginal incision. In this study, we present our preliminary results evaluating the safety, tolerability, and perioperative morbidity of this procedure.

MATERIALS AND METHODS

One hundred patients with stress urinary incontinence underwent the TVT procedure as part of an observational study. Patients were evaluated prospectively with history and pelvic examination, urodynamic studies, perioperative protocol, outcome and satisfaction questionnaire, and postoperative visits at 3 weeks and 2 months.

RESULTS

The procedure was performed with the patient under local anesthesia, using intravenous sedation in 97 patients and regional anesthesia in 3. Mean surgical time was 35.5 minutes. Bladder penetration occurred in 24 patients. Forty-two required overnight urethral catheterization. Mean hospital stay was 0.18 days. By 24 hours after the procedure, 95% were able to void. At 3-week follow-up, 88% of patients were completely continent and 9% significantly improved.

CONCLUSIONS

The TVT procedure for stress urinary incontinence is a safe, minimally invasive operation with minimal perioperative morbidity. Considering these preliminary findings and long-term European data of 1 to 3 years' experience with continence rate averaging 85%, the TVT procedure may prove to be the operation of choice to treat stress urinary incontinence for many women.

Authors+Show Affiliations

Division of Urology, Washington University itv Schoof Medicineine, St. Louis, Misso .No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

11763484

Citation

Niemczyk, P, et al. "United States Experience With Tension-free Vaginal Tape Procedure for Urinary Stress Incontinence: Assessment of Safety and Tolerability." Techniques in Urology, vol. 7, no. 4, 2001, pp. 261-5.
Niemczyk P, Klutke JJ, Carlin BI, et al. United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability. Tech Urol. 2001;7(4):261-5.
Niemczyk, P., Klutke, J. J., Carlin, B. I., & Klutke, C. G. (2001). United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability. Techniques in Urology, 7(4), 261-5.
Niemczyk P, et al. United States Experience With Tension-free Vaginal Tape Procedure for Urinary Stress Incontinence: Assessment of Safety and Tolerability. Tech Urol. 2001;7(4):261-5. PubMed PMID: 11763484.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability. AU - Niemczyk,P, AU - Klutke,J J, AU - Carlin,B I, AU - Klutke,C G, PY - 2002/1/5/pubmed PY - 2002/2/28/medline PY - 2002/1/5/entrez SP - 261 EP - 5 JF - Techniques in urology JO - Tech Urol VL - 7 IS - 4 N2 - PURPOSE: The tension-free vaginal tape (TVT) procedure is an operation for treatment of stress urinary incontinence. A polypropylene mesh tape is placed to support the midurethra through a small vaginal incision. In this study, we present our preliminary results evaluating the safety, tolerability, and perioperative morbidity of this procedure. MATERIALS AND METHODS: One hundred patients with stress urinary incontinence underwent the TVT procedure as part of an observational study. Patients were evaluated prospectively with history and pelvic examination, urodynamic studies, perioperative protocol, outcome and satisfaction questionnaire, and postoperative visits at 3 weeks and 2 months. RESULTS: The procedure was performed with the patient under local anesthesia, using intravenous sedation in 97 patients and regional anesthesia in 3. Mean surgical time was 35.5 minutes. Bladder penetration occurred in 24 patients. Forty-two required overnight urethral catheterization. Mean hospital stay was 0.18 days. By 24 hours after the procedure, 95% were able to void. At 3-week follow-up, 88% of patients were completely continent and 9% significantly improved. CONCLUSIONS: The TVT procedure for stress urinary incontinence is a safe, minimally invasive operation with minimal perioperative morbidity. Considering these preliminary findings and long-term European data of 1 to 3 years' experience with continence rate averaging 85%, the TVT procedure may prove to be the operation of choice to treat stress urinary incontinence for many women. SN - 1079-3259 UR - https://www.unboundmedicine.com/medline/citation/11763484/United_States_experience_with_tension_free_vaginal_tape_procedure_for_urinary_stress_incontinence:_assessment_of_safety_and_tolerability_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -