Trans vaginal tape readjustment after unsuccessful tension-free vaginal tape operation

Authors

  • Menahem Neuman

    Corresponding author
    1. Urogynecology, Department of Gynecology, Shaare Zedek Medical Center, Jerusalem, Ben-Gurion University of the Negev and Urogynecology Service, American Medical Center, Rishon LeZion, Israel
    • Urogynecology, Department of Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.
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Abstract

Aims

This study is aimed at evaluating a new surgical technique to deal with tension-free vaginal tape (TVT) failure. The TVT operation, described by Ulmsten in 1995, is based on a mid urethral Prolene tape support. TVT is accepted as an easy-to-learn and safe minimal invasive surgical technique. Yet, as with other surgical methods for correction of female urinary stress incontinence, therapeutic failures occur with TVT also.

Materials and Methods

Described here is a new approach for addressing this issue. Out of 344 women who underwent TVT and who were followed for up to 55 months, four (1.2%) requested to be reoperated on the grounds of a diagnosis of operative failure. These four women were treated by trans vaginal readjustment of the tape.

Results

Three out of the four reoperated patients reported subjective continence, subsequently confirmed clinically. The fourth patient, although suffering residual minor urinary leakage, declined further interventions. Urodynam.

Conclusions

The readjustment technique seems effective, easy, and safe for the treatment of failed TVT operations. More experience is needed prior to suggesting this technique as a recommended approach. Neurourol. Urodynam. 23:282–283, 2004. © 2004 Wiley-Liss, Inc.

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