Does the tension-free vaginal tape stay where you put it?
| Autor: | Lone Mouritsen, P. D. Wilson, Hans Peter Dietz, Gaye Ellis |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Time Factors Valsalva Maneuver Urinary Incontinence Stress medicine.medical_treatment Urinary Bladder education Urinary incontinence Clinical study Foreign-Body Migration medicine Valsalva maneuver Humans Longitudinal Studies Surgical treatment Aged Ultrasonography business.industry Tension free vaginal tape Obstetrics and Gynecology Prostheses and Implants Middle Aged medicine.disease Prosthesis Failure Surgery Outcome parameter medicine.anatomical_structure Vagina Urologic Surgical Procedures Female medicine.symptom business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 188:950-953 |
| ISSN: | 0002-9378 |
| DOI: | 10.1067/mob.2003.268 |
| Popis: | Objective: The tension-free vaginal tape (TVT) is a widely used procedure for the surgical treatment of urodynamic stress incontinence. Long-term follow-up data remain scarce. It has been speculated that scar formation leads to tape shortening and stiffening. This study was designed to longitudinally investigate tape position and mobility. Study Design: An observational clinical study was performed using ultrasound parameters of tape position and mobility on Valsalva maneuver as main outcome parameters. Results: Of 92 women eligible for a minimum of two postoperative assessments, 72 (78%) attended at least twice after TVT placement, at a median interval of 1.6 years. Sixty-eight data sets remained after exclusion of 4 patients who had undergone tape division. At the last visit, the tape was found to be more caudal, at rest ( P P =.002). Tape mobility on Valsalva maneuver remained virtually unchanged. Conclusion: The TVT does not seem to contract or shorten over a median observation period of 1.6 years. On the contrary, it appears to slowly migrate caudally. |
| Databáze: | OpenAIRE |
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