AIM: To evaluate the short--term outcomes of Tension--free vaginal tape procedures in female stress urinary incontinence with intrinsic sphincter deficiency and identify possible effective factors for cure rate of this treatment.
METHODS: 49 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. 41 (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 closure pressure measured by urodynamics was found as a significant effective factor for poor surgical outcome.
CONCLUSIONS: 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.
Written by:
Kokanalı MK, Cavkaytar S, Topçu HO, Ceran U, Aksakal O, Doğanay M. Are you the author?
Dr Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara/Turkey.
Reference: Minerva Chir. 2014 Jul 3. Epub ahead of print.
PubMed Abstract
PMID: 24992326
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