Redo midurethral synthetic sling for female stress urinary incontinence
Tóm tắt
Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT—9, intravaginal sling (IVS)—2, transobturator tape (TOT)—1] for SUI underwent a repeat MUS (TVT—5, IVS—4, TOT—3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1–48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14–44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.
Tài liệu tham khảo
Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86
Petros PP (1996) The intravaginal slingoplasty operation, a minimally invasive technique for cure of urinary incontinence in the female. Aust N Z J Obstet Gynaecol 36:453–461
Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:306–313
Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12:S5–S8 (Suppl)
Tsivian A, Mogutin B, Kessler O, Korczak D, Levin S, Sidi AA (2004) Tension-free vaginal tape (TVT) procedure in treatment of female stress urinary incontinence: long term results. J Urol 172:998–1000
Volkmer BG, Nesslauer T, Rinnab L, Schradin T, Hautmann RE, Gottfried H-W (2003) Surgical intervention for complications of the tension-free vaginal tape procedure. J Urol 169:570–574
Tsivian A, Kessler O, Mogutin B, Rosenthal J, Korczak D, Levin S, Sidi AA (2004) Tape related complications of the tension-free vaginal tape procedure. J Urol 171:762–764
Nitahara KS, Aboseif S, Tanagho ET (1999) Long-term results of colpocystourethropexy for persistent or recurrent stress urinary incontinence. J Urol 162:138–141
Amaye-Obu FA, Drutz HP (1999) Surgical management of recurrent stress urinary incontinence: a 12-year experience. Am J Obstet Gynecol 181:1296–1307
Petrou SP, Frank I (2001) Complications and initial continence rate after a repeat pubovaginal sling procedure for recurrent stress urinary incontinence. J Urol 165:1979–1981
Schultz JA, Drutz HP (1999) The surgical management of recurrent stress urinary incontinence. Curr Opin Obstet Gynecol 11:489–494
Elliott DS, Barrett DM (1998) The artificial urinary sphincter in the female: indications for use, surgical approach and results. Int Urogynecol J 9:409–415
Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodyn 14:131–139
De Lancey JO (1994) Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 170:1713–1723
Riachi L, Kohli N, Miklos J (2002) Repeat tension-free transvaginal tape (TVT) sling for the treatment of recurrent stress urinary incontinence. Int Urogynecol J 13:133–135
Hong B, Park S, Kim HS, Choo M-S (2003) Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary incontinence. J Urol 170:852–856
Villet R, Ercoli A, Atallah D, Hoffmann P, Salet-Lizee D (2002) Second tension-free vaginal tape procedure and mesh retensioning: two possibilities of treatment of recurrent-persistent genuine stress urinary incontinence after a primary tension-free vaginal tape procedure. Int Urogynecol J 13:377–379
Paick JS, Ku JH, Shin JW, Park KJ, Kim SW, Oh S-J (2004) Shortening of tension-free vaginal tape for the treatment of recurrent incontinence. J Urol 171:1634
Neuman M (2004) Trans vaginal tape readjustment after unsuccessful tension-free vaginal tape operation. Neurourol Urodyn 23:282–283
Rezapour M, Falconer C, Ulmsten U (2001) Tension-free vaginal tape (TVT) in stress incontinent women with intrinsic sphincter deficiency (ISD)—a long term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 12:S12 (Suppl)