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Updated: Jun 12, 2026

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Management of recurrent or persistent stress urinary incontinence after TVT-O by mesh readjustment
Laurent de Landsheere1, Jean Philippe Lucot, Jean Michel Foidart
1Department of Obstetrics and Gynecology, CHR La Citadelle, Boulevard du 12e de ligne n°1, 4000 Liège, Belgium. ldelandsheere@chu.ulg.ac.be
Introduction And Hypothesis:
The aim of this study was to evaluate, retrospectively, the place of sub-urethral mesh readjustment when treating recurrent stress urinary incontinence (SUI) after TVT-O.
Methods:
Between August 2006 and August 2008, eight patients had recurrent or persistent SUI. They were treated surgically by tightening the pre-implanted sling.
Results:
Medium delay between first surgery and mesh adjustment was 6 months. One patient needed a second TVT-O for rupture of the pre-implanted mesh during adjustment. Among the seven patients who underwent a mesh readjustment, three were cured, three improved, there was one failure. Mean follow-up was 25 months.
Conclusions:
The sub-urethral mesh readjustment is a simple and safe procedure for patients with recurrent SIU after TVT-O procedure. Success rates are high, surgery minimally invasive but long-term follow-up is needed to evaluate efficiency.
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