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Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes.
Minerva Chir. 2015 Jun; 70(3):161-6.MC

Abstract

AIM

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.

CONCLUSION

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+Show Affiliations

Dr Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey - k.kokanal@yahoo.com.tr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24992326

Citation

Kuntay Kokanali, M, et al. "Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence With Intrinsic Sphincter Deficiency: Short-term Outcomes." Minerva Chirurgica, vol. 70, no. 3, 2015, pp. 161-6.
Kuntay Kokanali M, Cavkaytar S, Onur Topçu H, et al. Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes. Minerva Chir. 2015;70(3):161-6.
Kuntay Kokanali, M., Cavkaytar, S., Onur Topçu, H., Ceran, U., Aksakal, O., & Doğanay, M. (2015). Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes. Minerva Chirurgica, 70(3), 161-6.
Kuntay Kokanali M, et al. Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence With Intrinsic Sphincter Deficiency: Short-term Outcomes. Minerva Chir. 2015;70(3):161-6. PubMed PMID: 24992326.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes. AU - Kuntay Kokanali,M, AU - Cavkaytar,S, AU - Onur Topçu,H, AU - Ceran,U, AU - Aksakal,O, AU - Doğanay,M, Y1 - 2014/07/03/ PY - 2014/7/4/entrez PY - 2014/7/6/pubmed PY - 2015/11/18/medline SP - 161 EP - 6 JF - Minerva chirurgica JO - Minerva Chir VL - 70 IS - 3 N2 - AIM: 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. CONCLUSION: 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. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/24992326/Tension_free_vaginal_tape_procedure_for_treatment_of_female_stress_urinary_incontinence_with_intrinsic_sphincter_deficiency:_short_term_outcomes_ L2 - http://www.minervamedica.it/index2.t?show=R06Y2015N03A0161 DB - PRIME DP - Unbound Medicine ER -