Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence
| Autor: | Ji-Yoon Kim, Chin Kyung Doo, Hee Chang Jung, Byung Joo Chung, Myung-Soo Choo, Kyu-Sung Lee, Bumsik Hong |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Urology medicine.medical_treatment Urinary Incontinence Stress Urinary incontinence Prosthesis Patient satisfaction Postoperative Complications Surveys and Questionnaires medicine Humans Aged Suburethral Slings Korea business.industry Bladder Perforation Middle Aged medicine.disease Surgery Urodynamics medicine.anatomical_structure Treatment Outcome Overactive bladder Concomitant Vagina Female Implant medicine.symptom business |
| Zdroj: | European urology. 50(2) |
| ISSN: | 0302-2838 |
| Popis: | We evaluated the long-term efficacy and safety of a tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence (SUI) in a Korean population.We included 134 patients (mean age, 52.3+/-9.3 yr) who underwent the TVT procedure for SUI in three institutions and followed for 5 yr (mean, 67.0 mo; range, 60-76 mo) postoperatively. We analysed voiding diaries and complete multichannel urodynamic studies preoperatively as well as cough stress tests, uroflowmetry, and questionnaires postoperatively.The overall 5-yr success rates (cure/improved) were 94.9% (76.9% and 18.0%, respectively), with an 86.6% patient satisfaction rate. Although the success rates between 1 and 5 yr were similar (97.7% vs. 94.9%), the cure rate decreased from 90.1% to 76.9% (p0.001) at 5 yr. The 5-yr cure rate for mixed urinary incontinence (MUI) was 72.0%, which was not significantly different from pure SUI (78.0%, p0.05). Maximal flow rate dropped from 25.9+/-10.3ml/s to 20.4+/-8.6ml/s at 1 mo postoperatively and recovered to 24.8+/-8.5ml/s at 5 yr. Complications included bladder perforation in 5 patients (3.7%), tape cutting or release in 11 (8.2%), and persistent suprapubic pain in 3 (2.2%). Urgency and urge incontinence improved in 46.7% and 48.0% of patients, respectively.TVT was an effective and safe procedure for SUI and MUI with high success rates in the long-term follow-up. It also improved concomitant overactive bladder symptoms and initially reduced postoperative urine flow, which recovered over time. |
| Databáze: | OpenAIRE |
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