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TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up

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Abstract

Introduction and hypothesis

The aim of this study was to evaluate the effectiveness of and morbidity associated with the tension-free vaginal tape-secur (TVT-S) procedure in women with stress urinary incontinence (SUI).

Methods

We performed a prospective trial, examining 86 women with primary SUI. Eighty-two patients had a 1-year follow-up (dropout rate = 4.6%). The preoperative evaluation included urinalysis, urodynamic studies, and validated questionnaires. The 1-year outcome evaluation also included a 1-h pad testing.

Results

At the 1-year follow-up, 43 (52.4%) women were objectively cured, and 14 (17.1%) women were objectively improved. Subjectively, 49 (59.7%) patients did not experience urine loss, and 18 (22.2%) women improved in this respect. Postoperative de novo urge incontinence symptoms developed in 24.4% (n = 20) of patients. Vaginal defect healing occurred in 6.1% (n = 5) of patients, and one (1.2%) case of urethral erosion was reported.

Conclusion

Objective and subjective cure rates following TVT-S are inferior to other tape procedures.

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Authors and Affiliations

  1. Institute for the Care of Mother and Child, Podolske nabrezi 157, 147 00, Prague 4, Czech Republic

    Ladislav Krofta, Jaroslav Feyereisl, Petr Velebil, Michal Otčenášek, Eva Kašíková & Michal Krčmář

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  1. Ladislav Krofta
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  2. Jaroslav Feyereisl
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  3. Petr Velebil
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  4. Michal Otčenášek
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  5. Eva Kašíková
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  6. Michal Krčmář
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Correspondence to Ladislav Krofta.

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Krofta, L., Feyereisl, J., Velebil, P. et al. TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up. Int Urogynecol J 21, 779–785 (2010). https://doi.org/10.1007/s00192-010-1128-y

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  • DOI: https://doi.org/10.1007/s00192-010-1128-y

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