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Concomitant tension‐free vaginal tape for urinary incontinence during laparoscopic hysterectomy
Author(s) -
LIN YiHao,
LIANG ChingChung,
LO TsiaShu,
SOONG YungKuei,
CHANG ShuennDhy,
CHANG YaoLung
Publication year - 2005
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2005.00416.x
Subject(s) - concomitant , medicine , urinary incontinence , hysterectomy , vagina , stress incontinence , surgery , laparoscopy , urinary system , urology , gynecology
Objective: To evaluate the effectiveness and safety of placing tension‐free vaginal tape (TVT) during a laparoscopically assisted vaginal hysterectomy (LAVH) in women with stress urinary incontinence and coexistent benign gynaecological disease. Design: Retrospective clinical study (Canadian Task Force classification II‐2). Sample: Thirty patients diagnosed with genuine stress incontinence and benign gynaecological disease were studied. Methods: All the patients underwent LAVH and concomitant TVT procedure. Results: There was no significant difference in urodynamic parameters before and after surgery. All patients were followed postoperatively for a mean duration of 24.6 ± 11.5 months (range 12–40). The cure rate of stress urinary incontinence was 96.7%. Conclusions: Concomitant placement of tension‐free vaginal tape during a laparoscopically assisted vaginal hysterectomy proved to be an efficacious and safe procedure for women with benign gynaecological disease and coexistent stress urinary incontinence.