TVT - Re Adjustment
 

Trans vaginal tape readjustment after unsuccessful tension-free vaginal tape operation.
Menahem Neuman Urogynecology, Department of Gynecology, Shaare Zedek Medical Center, Jerusalem, Ben-Gurion University of the Negev and Urogynecology Service, American Medical Center, Rishon LeZion, Israel.


AIMS:

This study is aimed at evaluating a new surgical technique to deal with tension-free vaginal tape (TVT) failure. The TVT operation, described by Ulmsten in 1995, is based on a mid urethral Prolene tape support. TVT is accepted as an easy-to-learn and safe minimal invasive surgical technique. Yet, as with other surgical methods for correction of female urinary stress incontinence, therapeutic failures occur with TVT also.

 

MATERIALS AND METHODS:

Described here is a new approach for addressing this issue. Out of 344 women who underwent TVT and who were followed for up to 55 months, four (1.2%) requested to be reoperated on the grounds of a diagnosis of operative failure. These four women were treated by trans vaginal readjustment of the tape.

 

RESULTS:

Three out of the four reoperated patients reported subjective continence, subsequently confirmed clinically. The fourth patient, although suffering residual minor urinary leakage, declined further interventions. Urodynam.

 

CONCLUSIONS:

The readjustment technique seems effective, easy, and safe for the treatment of failed TVT operations. More experience is needed prior to suggesting this technique as a recommended approach. Neurourol. Urodynam. 23:282-283, 2004.
 

Source: Neurourol Urodyn. 2004 ;23 (3):282-3


 

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