The TVT Procedure as
Second-Line Anti-Incontinence Surgery for TVT-Obturator Failure
Neuman, Menahem MD
AIM: The aim of this study was to
evaluate the effectiveness of the TVT procedure as a second-line
anti-incontinence operation for TVT-obturator failure patients.
Five patients with a urodynamic-diagnosed TVT-obturator procedure
therapeutic failure had a TVT operation. Follow-up periods lasted 3
to 11 months.
The 5 TVT patients were completely dry, intraoperative diagnostic
cystoscopies were unremarkable, and no perioperative complications
The TVT procedure is a safe, easy-to-perform, and effective
second-line operation for the cure of post-TVT-obturator persistent
urinary stress incontinence. However, long-term data collection is
required before drawing solid conclusions regarding this surgical
approach for women diagnosed with TVT-obturator failure.
Journal of Pelvic Medicine &
Surgery. 12(3):161-163, May/June 2006