Management of recurrent or persistent stress urinary incontinence after TVT-O by mesh readjustment.
作者信息
de Landsheere Laurent, Lucot Jean Philippe, Foidart Jean Michel, Cosson Michel
机构信息
Department of Obstetrics and Gynecology, CHR La Citadelle, Boulevard du 12e de ligne n°1, 4000 Liège, Belgium.
出版信息
Int Urogynecol J. 2010 Nov;21(11):1347-51. doi: 10.1007/s00192-010-1200-7. Epub 2010 Jun 15.
INTRODUCTION AND HYPOTHESIS
The aim of this study was to evaluate, retrospectively, the place of sub-urethral mesh readjustment when treating recurrent stress urinary incontinence (SUI) after TVT-O.
METHODS
Between August 2006 and August 2008, eight patients had recurrent or persistent SUI. They were treated surgically by tightening the pre-implanted sling.
RESULTS
Medium delay between first surgery and mesh adjustment was 6 months. One patient needed a second TVT-O for rupture of the pre-implanted mesh during adjustment. Among the seven patients who underwent a mesh readjustment, three were cured, three improved, there was one failure. Mean follow-up was 25 months.
CONCLUSIONS
The sub-urethral mesh readjustment is a simple and safe procedure for patients with recurrent SIU after TVT-O procedure. Success rates are high, surgery minimally invasive but long-term follow-up is needed to evaluate efficiency.
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