Menahem Neuman1. 1. Urogynecology, Department of Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel. neuman@szmc.org.il
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. 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. Copyright 2004 Wiley-Liss, Inc.
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. 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. Copyright 2004 Wiley-Liss, Inc.
Authors: Giovanni A Tommaselli; Costantino Di Carlo; Virginia Gargano; Carmen Formisano; Mariamaddalena Scala; Carmine Nappi Journal: Int Urogynecol J Date: 2010-05-26 Impact factor: 2.894
Authors: Laurent de Landsheere; Jean Philippe Lucot; Jean Michel Foidart; Michel Cosson Journal: Int Urogynecol J Date: 2010-06-15 Impact factor: 2.894
Authors: Alexander Tsivian; Menahem Neuman; Evgeny Yulish; Avraham Shtricker; Samuel Levin; Shmuel Cytron; A Ami Sidi Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-04-01