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Updated: Jul 3, 2026
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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement
Jonathan A Eandi1, Stacy T Tanaka, Nicholas J Hellenthal
1Department of Urology, UC Davis Medical Center, Sacramento, California 95817, USA. jonathan.eandi@ucdmc.ucdavis.edu
Summary
Tension-free transvaginal tape (TVT) placement can be effective for women with persistent stress urinary incontinence (SUI) after a failed midurethral synthetic sling (MUS). This study found that TVT improved continence for 70% of patients.
Area of Science:
- Urology
- Gynecology
Background:
- Stress urinary incontinence (SUI) affects many women.
- Midurethral synthetic slings (MUS) are a common treatment for SUI.
- Recurrent or persistent SUI after MUS can be challenging to manage.
Purpose of the Study:
- To evaluate the efficacy of tension-free transvaginal tape (TVT) placement in women with SUI.
- To assess TVT as a secondary treatment option after a failed MUS procedure.
Main Methods:
- Retrospective chart review of 10 women who underwent TVT for SUI post-MUS.
- No removal of the prior MUS sling was performed.
- Post-operative follow-up included a mailed incontinence questionnaire.
Main Results:
- Follow-up at a mean of 16 months (range 6-33 months).
- Four out of 10 patients achieved complete continence.
- Three additional patients reported significant improvement in continence and quality of life.
Conclusions:
- Tension-free transvaginal tape (TVT) placement is a viable option for managing persistent or recurrent SUI.
- TVT can offer improved outcomes for women with failed prior MUS procedures.
