INTRODUCTION AND HYPOTHESIS:Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape.
METHODS: A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted.
RESULTS: At a median follow-up of 12 months, subjective and objective cure rate were 85% and 77%, respectively. Thirty percent of the women developed de novo detrusor overactivity that responded to antimuscarinic treatment. Long-term voiding difficulty was observed in only one patient, who performed clean intermittent self-catheterization for 3 months. Posterior vaginal wall prolapse requiring pelvic floor repair was found in three women (23%) postoperatively.
CONCLUSIONS: Open colposuspension is an effective option for treating persistent or recurrent stress urinary incontinence after failed midurethral tape, with a high success rate.
Written by:
Giarenis I, Mastoroudes H, Cardozo L, Robinson D. Are you the author?
Department of Urogynaecology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Reference: Int Urogynecol J. 2012 Mar 13. Epub ahead of print.
doi: 10.1007/s00192-012-1720-4
PubMed Abstract
PMID: 22411210
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