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Tension-free vaginal tape (TVT) in women with low urethral closure pressure.
Eur J Obstet Gynecol Reprod Biol. 2004 Sep 10; 116(1):67-70.EJ

Abstract

OBJECTIVE(S)

Aim of the study was to assess the effectiveness and the complications associated with the use of tension-free vaginal tape (TVT) in women with stress urinary incontinence and low urethral closure pressure (LUCP).

STUDY DESIGN

Thirty-seven patients with stress urinary incontinence and LUCP who were treated with the TVT procedure have been included in the study. Physical examination and urodynamic investigations were carried out to all women preoperatively and at 6, 12 and 26 months (average, range: 22-30 months), postoperatively. The mean age of the patients was 69 years (+/-13), while mean parity was 2.2 (range 0-3).

RESULTS

TVT procedure was carried out in all patients with epidural anesthesia. Postoperative evaluation showed 27 patients (73%) to have been completely cured, four (9.25%) to have a considerable improvement, whereas six patients (16.2%) were classified as failures. Only a few complications occurred.

CONCLUSION(S)

Our study indicates that the TVT procedure is an effective and well-accepted minimal invasive surgery for treatment of urinary stress incontinence in women with LUCP. The cure rate of 73% could be considered satisfactory. Women with LUCP and 'fixed' urethra, are at significantly increased risk of failure of the procedure.

Authors+Show Affiliations

2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15294371

Citation

Liapis, Angelos, et al. "Tension-free Vaginal Tape (TVT) in Women With Low Urethral Closure Pressure." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 116, no. 1, 2004, pp. 67-70.
Liapis A, Bakas P, Salamalekis E, et al. Tension-free vaginal tape (TVT) in women with low urethral closure pressure. Eur J Obstet Gynecol Reprod Biol. 2004;116(1):67-70.
Liapis, A., Bakas, P., Salamalekis, E., Botsis, D., & Creatsas, G. (2004). Tension-free vaginal tape (TVT) in women with low urethral closure pressure. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 116(1), 67-70.
Liapis A, et al. Tension-free Vaginal Tape (TVT) in Women With Low Urethral Closure Pressure. Eur J Obstet Gynecol Reprod Biol. 2004 Sep 10;116(1):67-70. PubMed PMID: 15294371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape (TVT) in women with low urethral closure pressure. AU - Liapis,Angelos, AU - Bakas,Panagiotis, AU - Salamalekis,Emanouel, AU - Botsis,Dimitrios, AU - Creatsas,Georgios, PY - 2003/08/08/received PY - 2004/02/05/accepted PY - 2004/8/6/pubmed PY - 2004/12/16/medline PY - 2004/8/6/entrez SP - 67 EP - 70 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 116 IS - 1 N2 - OBJECTIVE(S): Aim of the study was to assess the effectiveness and the complications associated with the use of tension-free vaginal tape (TVT) in women with stress urinary incontinence and low urethral closure pressure (LUCP). STUDY DESIGN: Thirty-seven patients with stress urinary incontinence and LUCP who were treated with the TVT procedure have been included in the study. Physical examination and urodynamic investigations were carried out to all women preoperatively and at 6, 12 and 26 months (average, range: 22-30 months), postoperatively. The mean age of the patients was 69 years (+/-13), while mean parity was 2.2 (range 0-3). RESULTS: TVT procedure was carried out in all patients with epidural anesthesia. Postoperative evaluation showed 27 patients (73%) to have been completely cured, four (9.25%) to have a considerable improvement, whereas six patients (16.2%) were classified as failures. Only a few complications occurred. CONCLUSION(S): Our study indicates that the TVT procedure is an effective and well-accepted minimal invasive surgery for treatment of urinary stress incontinence in women with LUCP. The cure rate of 73% could be considered satisfactory. Women with LUCP and 'fixed' urethra, are at significantly increased risk of failure of the procedure. SN - 0301-2115 UR - https://www.unboundmedicine.com/medline/citation/15294371/Tension_free_vaginal_tape__TVT__in_women_with_low_urethral_closure_pressure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301211504000739 DB - PRIME DP - Unbound Medicine ER -