Eandi Jonathan A, Tanaka Stacy T, Hellenthal Nicholas J, O'Connor R Corey, Stone Anthony R
Department of Urology, UC Davis Medical Center, Sacramento, California 95817, USA.
Int Braz J Urol. 2008 May-Jun;34(3):336-42; discussion 343-4. doi: 10.1590/s1677-55382008000300011.
To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure.
Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes.
All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve.
TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.
评估我们在为先前接受过失败的中段尿道合成吊带（MUS）手术的女性放置无张力经阴道吊带（TVT）治疗压力性尿失禁（SUI）方面的经验。
10名女性在先前接受MUS手术后因持续性或复发性SUI接受耻骨后TVT植入术。手术时未尝试移除先前放置的吊带。进行回顾性病历审查以获取围手术期和随访患者信息。术后，每位患者填写一份邮寄的尿失禁问卷以评估自我报告的尿失禁结局。
所有10名女性均获得随访，平均随访时间为16个月（范围6至33个月）。10名患者中有4名实现完全控尿，另外3名患者报告控尿和生活质量显著改善。3名女性表示其控尿情况未改善。
对于初次MUS手术后持续性或复发性SUI的女性，放置TVT可能是一种可行的治疗选择。
