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Updated: Aug 11, 2026
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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Concomitant pelvic organ prolapse surgery with TVT procedure
Kuan-Hui Huang1, Fu-Tsai Kung, Hsi-Mi Liang
1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, 83305, Taiwan. gynh2436@adm.cgmh.com.tw
Summary
This study shows that combining pelvic reconstructive surgery with tension-free vaginal tape (TVT) is effective for treating pelvic organ prolapse and stress urinary incontinence (SUI). The combined approach achieved high subjective and objective success rates in patients.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Female Urology
Background:
- Pelvic organ prolapse (POP) frequently coexists with urodynamic stress incontinence (USI) or occult USI.
- Surgical management of POP with USI requires addressing both conditions effectively.
Purpose of the Study:
- To evaluate the efficacy and feasibility of combining pelvic reconstructive surgery with the tension-free vaginal tape (TVT) procedure.
- To treat women with pelvic organ prolapse and urodynamic stress incontinence (USI) or occult USI.
Main Methods:
- Seventy-five women with POP and USI/occult USI underwent concomitant surgeries.
- Procedures included TVT, transvaginal total hysterectomy (VTH), anterior-posterior colporrhaphy (APC), and/or sacrospinous ligament suspension (SSS).
- Outcomes were assessed subjectively (VAS, questionnaire) and objectively (pad test, cough stress test, urodynamics).
Main Results:
- The mean follow-up was 25 months.
- Subjective success rate for urinary incontinence was 88%; objective complete cure rate was 84%.
- Postoperative complications included persistent urinary urgency (50%), de novo detrusor overactivity (8%), dysfunctional voiding (12%), and tape erosion (1.3%).
Conclusions:
- Concomitant pelvic reconstructive surgery and TVT is an effective treatment for women with POP and USI or occult USI.
- This combined approach can successfully treat existing incontinence and prevent its occurrence after prolapse surgery.
- While effective, careful patient selection and management of potential postoperative complications are necessary.
