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Int Braz J Urol. 2008 May-Jun;34(3):336-42; discussion 343-4.

Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement.

Author information

1
Department of Urology, UC Davis Medical Center, Sacramento, California 95817, USA. jonathan.eandi@ucdmc.ucdavis.edu

Abstract

OBJECTIVE:

To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure.

MATERIALS AND METHODS:

Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes.

RESULTS:

All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve.

CONCLUSIONS:

TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.

PMID:
18601764
DOI:
10.1590/s1677-55382008000300011
[Indexed for MEDLINE]
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