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Tension‐free vaginal tape for surgical treatment of stress urinary incontinence: Two years follow‐up
Author(s) -
Perk Hakki,
Soyupek Sedat,
Serel T Ahmet,
Koşar Alim,
Sayin Adnan,
Hoşcan M Burak
Publication year - 2003
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2003.00592.x
Subject(s) - medicine , urinary incontinence , urology , urinary system , surgery
Background: The objective was to study prospectively the effectiveness of tension‐free vaginal tape as an ambulatory and minimal invasive operation for the treatment of female stress incontinence. Methods: The tension‐free vaginal tape procedure was performed in 25 patients with genuine stress incontinence and they were followed for a 2‐year period. All patients were diagnosed with urodynamics to have genuine stress incontinence. Pad tests, cough stress test and quality‐of‐life assessments were carried out in all patients, both preoperatively and postoperatively. The majority of the women were discharged the morning after the surgical procedure. Results: Twenty of 25 (80%) patients were found to be cured 2 years after the operation. The vaginal tape was spontaneously dropped out from the vagina in one patient 2 weeks after the procedure. We did not see such a complication in previous studies. Conclusion: We conclude that the tension‐free vaginal tape procedure is both a safe and effective method to cure genuine female stress incontinence. Furthermore, it can be performed as an ambulatory procedure under local anesthesia with a short operative time.