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Related Experiment Videos

Tension-free vaginal tape: avoiding failure.

W Al-Singary1, M Arya, H R H Patel

  • 1Department of Urology, Worthing Hospitals NHS Trust, UCL, London, UK.

International Journal of Clinical Practice
|April 29, 2005
PubMed
Summary
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Tension-free vaginal tape (TVT) surgery shows good outcomes for simple stress incontinence. Patient selection is crucial, as TVT is less effective for complex cases like mixed or recurrent incontinence.

Area of Science:

  • Urology
  • Gynecology
  • Surgical Outcomes

Background:

  • Urinary incontinence significantly impacts quality of life.
  • Surgical interventions like tension-free vaginal tape (TVT) are common treatments.
  • Evaluating long-term outcomes and patient selection is essential for TVT efficacy.

Purpose of the Study:

  • To assess the outcomes of tension-free vaginal tape (TVT) surgery in a cohort of patients.
  • To evaluate the efficacy and patient satisfaction with TVT over a mean follow-up of 26 months.
  • To identify factors influencing TVT success and failure rates.

Main Methods:

  • Prospective, single-centre study of 120 consecutive patients undergoing TVT by a single surgeon.
  • Initial 3-month follow-up included cough provocation test, residual urine volume, and satisfaction survey.

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  • Long-term assessment via validated telephone interview at a mean of 26 months post-surgery.

    • Main Results:

    • Out of 120 patients, 87 completed the study.
    • 63.2% of patients were completely dry on cough provocation test at 3 months.
    • 18.3% of patients reported subjective failure, with higher failure rates in those with previous radiotherapy, double incontinence, or recurrent incontinence.

    Conclusions:

    • Tension-free vaginal tape (TVT) is effective for simple stress incontinence unresponsive to conservative treatment.
    • Careful patient selection is paramount for successful TVT outcomes.
    • TVT may not be suitable for patients with mixed incontinence, previous pelvic radiotherapy, or recurrent incontinence.