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Updated: Aug 13, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Pre-pubic TVT: an alternative to classic TVT in selected patients with urinary stress incontinence
N Daher1, J C Boulanger, U Ulmsten
1Department of Obstetrics and Gynaecology, University of Amiens, 124 rue Camille Desmoulins, 80000 Amiens, France. nagibdaher@free.fr
Objectives:
To evaluate in a prospective open study a pre-pubic route of TVT for surgical treatment of female stress incontinence.
Study Design:
Consecutively, 74 patients were operated using a pre-pubic TVT tape application. All women were suffering subjectively and objectively from female stress urinary incontinence. The mean post-operative follow-up time was 5 months (range 2-10 months). The pre- and post-operative evaluations were performed according to a standard protocol.
Results:
According to the protocol, 60 patients (81%) were cured of their stress incontinence symptoms. Another 10 patients (13%) were improved. Four patients (6%) were considered failures. There were no significant intra- or post-operative complications.
Conclusion:
The short-term results of pre-pubic TVT are consonant with those of classic TVT. The risks of intra-operative complications should be reduced by the pre-pubic route. If the long-term results of pre-pubic TVT are the same as those after classic TVT, then this surgical approach may be a tentative alternative in selected high-risk patients.
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