https://doi.org/10.4081/uij.2014.158

Transobturator tension-free vaginal tape is the most common procedure in women with stress urinary incontinence: our experience

Vol. 28 No. 1 (2014)
Submitted: 16 February 2014
Accepted: 19 September 2014
Published: 18 December 2014
stress urinary incontinence, tension free vaginal tape.
Abstract Views: 1245
PDF: 343
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Authors

Barbara Cristina Gentile
bcgentile@libero.it
Department of Urology, Nuova Villa Claudia, Rome, Italy.
Roberto Giulianelli
Department of Urology, Nuova Villa Claudia, Rome, Italy.
Luca Albanesi
Department of Urology, Nuova Villa Claudia, Rome, Italy.
Gabriella Mirabile
Department of Urology, Nuova Villa Claudia, Rome, Italy.
Francesco Pisanti
Department of Urology, Nuova Villa Claudia, Rome, Italy.
Transobturator tension-free vaginal tape (TVT-O) surgery is currently one of the most effective procedures used to treat women with stress urinary incontinence (SUI), however, long-term follow-up data in medical literature is scarce. For this study, we enrolled women with SUI assessed by an urodynamic examination and a translabial ultrasound with a pelvic organ prolapse no greater than grade 2. All of the women were also given a pre- and postoperative test to assess their quality of life. They were given a thorough physical examination, asked to keep a voiding diary, and underwent an urodynamic examination and a translabial ultrasound. Additionally, we also further evaluated intraoperative and postoperative complications and the onset of de novo detrusor overactivity after the procedure. We also assessed the long-term efficacy of the TVT-O in those women with SUI caused by sphincter hypotonia. All of the women underwent TVT-O surgery without any associated procedure. Our findings indicate that TVT-O surgery is an effective treatment option for women with SUI, showing a very high cure rate and a low incidence of complications, with sustained outcomes even in the long-term. However, in women with SUI caused by sphincter hypotonia, the excellent outcomes in early stages tend to dwindle over time

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How to Cite

Gentile, B. C., Giulianelli, R., Albanesi, L., Mirabile, G., & Pisanti, F. (2014). Transobturator tension-free vaginal tape is the most common procedure in women with stress urinary incontinence: our experience. Urogynaecologia, 28(1). https://doi.org/10.4081/uij.2014.158

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