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The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery

Lookup NU author(s): Paul Hilton


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Purpose: The tension-free vaginal tape procedure is an increasingly popular choice for treating female urinary stress incontinence. This ongoing, prospective, open label study presents the results of tension-free vaginal tape surgery at 1 year in women who have previously undergone unsuccessful stress incontinence surgery. Materials and Methods: A total of 67 women with previous failed surgery for stress urinary incontinence underwent the tension-free vaginal tape procedure. Treatment outcome was categorized as cure, significant improvement or failure based on cystometry findings and urinary pad loss results at 3 months of followup, and on subjective questioning at 3 months and 1 year of followup. Results: At 12 months 54 women (81%) were cured, 4 (6%) were significantly improved and 9 (13%) were no better. No serious morbidity was noted after the procedure. Conclusions: The tension-free vaginal tape procedure provides the prospect of a success rate similar to that of a conventional sling procedure in patients with previous failed surgery. It has a low rate of operative complications and postoperative morbidity.

Publication metadata

Author(s): Hilton P; Azam U; Frazer MI; Kozman EL; Ward K; Rane A

Publication type: Article

Publication status: Published

Journal: Journal of Urology

Year: 2001

Volume: 166

Issue: 2

Pages: 554-556

ISSN (print): 0022-5347

ISSN (electronic): 1527-3792

Publisher: Elsevier


DOI: 10.1016/S0022-5347(05)65983-6


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