Department of Obstetrics and Gynecology, University of Turku, FIN-20520 Turku, Finland.
Acta Obstet Gynecol Scand. 2010;89(2):210-6. doi: 10.3109/00016340903508635.
To evaluate the efficacy of the tension-free vaginal tape operation (TVT) in patients with and without previous anti-incontinence surgery.
Prospective follow-up study.
University hospital in Finland.
A total of 130 women who had a TVT procedure from August 1998 to December 2002.
Subjective cure, complications and voiding symptoms.
Sixty women with recurrent (group A) and 70 women with primary stress urinary incontinence (SUI) (group B) were compared. One follow-up visit took place two months postoperatively and a questionnaire-based evaluation was carried out three years after operation. Further information was collected a mean of eight years after the operation.
There was no difference in the transient postoperative retention rate (17 vs. 19%, p = 0.78) and number of complications (20 vs. 13%, p = 0.29) between group A and group B. At two months after operation, 85% of patients in group A and 94% in group B were cured of SUI and were satisfied with the operative result (p = 0.096). The satisfaction rates at three years were 86 and 91% in groups A and B, respectively, and cure rate of SUI was 93% in both groups. At follow-up, 20% of the patients in group A and 5.7% in group B (p = 0.013) had de novo urge symptoms and the rate of voiding difficulties increased especially in group B women over time.
TVT results in the same cure and complication rates when performed for primary SUI and recurrent SUI. The procedure is effective and associated with a low and acceptable level of complications. It is well suited to treat also recurrent SUI.
评估经阴道无张力吊带术（TVT）治疗既往有抗失禁手术史和无抗失禁手术史患者的疗效。
前瞻性随访研究。
芬兰某大学医院。
1998 年 8 月至 2002 年 12 月期间共 130 例行 TVT 术的女性。
主观治愈率、并发症和排尿症状。
将 60 例复发性尿失禁患者（A 组）和 70 例初发性压力性尿失禁（SUI）患者（B 组）进行比较。术后 2 个月进行一次随访，并在术后 3 年进行问卷调查评估。进一步的信息在术后 8 年左右收集。
A 组和 B 组患者的术后一过性尿潴留率（17%比 19%，p = 0.78）和并发症发生率（20%比 13%，p = 0.29）无差异。术后 2 个月，A 组 85%的患者和 B 组 94%的患者 SUI 治愈，对手术结果满意（p = 0.096）。A 组和 B 组 3 年时的满意度分别为 86%和 91%，SUI 治愈率分别为 93%和 91%。随访时，A 组 20%的患者和 B 组 5.7%的患者（p = 0.013）出现新发急迫性尿失禁症状，且 B 组患者随时间推移排尿困难的发生率增加。
TVT 治疗初发性和复发性 SUI 的治愈率和并发症发生率相同。该手术有效，且相关并发症发生率低且可接受。TVT 非常适合治疗复发性 SUI。
