Tension-free Vaginal Taping in Pakistani Women with Stress Urinary Incontinence. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2017]

Author(s):

1. Ayesha Saleem: The Kidney Centre, Postgraduate Training Institute, Karachi, Pakistan

Abstract:

Objective: To evaluate the effectiveness and determine the peroperative and postoperative complications of tension-free vaginal tape (TVT) sling for urinary stress incontinence (USI) and contributing factors to complications. Study Design: Descriptive study. Place and Duration of Study: Kidney Centre Postgraduate Institute, Karachi, from January 2009 to December 2010. Methodology: One hundred consecutive patients underwent TVT as per Ulmsten Technique for urinary stress incontinence and patients were followed for 3 years. The subjective cure rate and improvement rate was based on the international consultation on incontinence questionnaire for evaluating female lower urinary tract symptoms (ICIQ - FLUS). The subjective cure was defined as the statement of the woman not experiencing any loss of urine upon physical stress and improvement rate was defined as occasional leakage during stress. Results: Patients at 1- and 3-year up follow-up showed subjective cure rate and improvement rate of 98% and 2%, and 95% and 5%, respectively. Mean operative time was 32 minutes. UTI was the commonest complication observed in 7 (7%) patients. Women with voiding dysfunction preoperatively had 9-fold odds of difficulty postoperatively (0<0.001). There was a significant association of preoperative symptoms of overactive bladder (OAB) with the same postoperative symptoms (p<0.0001). Preoperative hysterectomy had a significant (p< 0.005) 15.63 fold odds of intraoperative bladder perforation. Conclusion: Tension-free vaginal tape sling is an efficacious and secure surgical procedure for the treatment of urinary stress incontinence. Bladder perforation, voiding dysfunction, supra-pubic discomfort and UTI are the commonest complications. Risk factors for perforation include preoperative hysterectomy. Pre-existing voiding dysfunction and UTI lead to persistent similar postoperative problems.

Page(s): 362-366

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 27, Issue: 6, Year: 2017

Keywords:

Keywords are not available for this article.

References:

[1] PaulA,KerryA,NikkiG,JennyD., 2006.The international consultation on incontinence modular questionnaire,J Urol 175 1063 -6

[2] WangY,LiF,WangQ,YangS,CaiX,ChenY., 2011.Comparison of three mid-urethra tension-free tapes (TVT, TVT-O and TVT - Secur) in the treatment of female stress urinary incontinence: 1 year follow-up,Int Urogynecol J 22 1369 -74

[3] OleA.,Dyrkorn,Kulseng-HanssenS, 2010.TVT compared with TVT-O And TOT: Results from the Norwegian National Incontinence Registry,Int Urogynecol J 21 1321 -6

[4] BurchJC, 1961.Urethrovaginal fixation to cooper's ligament for correction of stress Incontinence cystocele and prolapse,Am J Obstet Gynecol 81 281 -90

[5] WardKL,HiltonP, 2004.Prospective multicenter randomized trial of tension-free vaginal tape and colposuspension as primary urodynamic stress incontinence two year follow-up,Am J Obstet Gynecol 190 324 -31

[6] NilsonCG,FalconerC,RezapourM., 2004.Seven years follow-up of the tension-free vaginal tape procedure for the treatment of urinary incontinence,Obstet Gynecol 104 1259 -62

[7] AouassalayR,SteinbergJR,LemieuxM,MaroiosC,GilchristLI,BorqueJL, 2004.Complications of tension-free vaginal tape surgery: a multi-institutional review,BJU Int 94 110 -3

[8] KuuvaN,NilsonCG, 2002.A nationwide analysis of complications associated with tension-free vaginal tape (TVT) procedure,Acta Obstet Gynecol Scand 81 72 -7

[9] AboussalyR,SteinbergJ,LemieuxM,MariosC,GilchristL,BourqueJL, 2004.Complication of tension-free vaginal tape surgery: a multi-institutionsl review,BJU Int 94 110 -3

[10] KoopsS,BisselingT,HeintzA,VervestH, 2005.Prospective analysis of complications of tension-free vaginal tape from the Netherlands tension free vaginal tape,AJOG 2193 45 -52

[11] HaylenBT,RidderD,FreemanRM, 2010.An International Urogynecological Association (IUGA/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction,Int Urogynecol J Pelvic Floor Dysfunct 21 5 -26

[12] UlmstenU,HenrikssonL,JohnsonP,VarhosG., 1996.An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence,Int Urogynecol J 7 81 -5

[13] GohniemG,StanfordE,KentonK,AchtariC,GoldbergR,MascarenhasT, 2008.Evaluation and outcome measures in the treatment of female stress urinary incontinence international urogynaecological association (IUGA) guidelines for research and clinical practice,Int Urogynecol J pelvic Floor Dysfunct 19 5 -33

[14] AbramsP,CardozoL,FallM,GriffithsD,RosierP, 2002.The standardization of terminology of lower urinary tract function:report from standardization sub-committee of the international continence society,Neurourol Urodyn 21 167 -8

[15] NilssonCG,KuuvaN,FalconerC,RezapourM, 2001.Ulmsten U. Long term results of the tension-free Vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence,Int Urogynecol J Pelvic Floor Dysfunct 12 S5 -S8

[16] NambierAK, 2016.The role of urodynamics in the evaluation of urinary incontinence: The European Association of Urology Recommendations in 2016,Eur Urol 71 501 -3

[17] WallLL,WiskindAK,Taylor PA, 1994.Simple bladder filling with a cough stress test compared with subtracted cystometry for the diagnosis of urinary incontinence,Am J obstet Gynecol 171 1427 -79

[18] LaurikainenE,ValpasA,AukeeP,KivelaA,RinneK,TakalaT., .Five years results of a randomized trial comparing retropubic and transobturator mid-urethral sling for stress incontinence, -

[19] 2014.,Eur Urol 65 1109 -14

[20] MalihehKS,HamidRR,MohammnadR DM,Zhila S, 2014.Tension vaginal tape versus transobtrutor tape for the treatment of stress urinary incontence,Urol Sci 125 54 -7

[21] CostantiniE,LazzeriM,ZucchiM,Di BiasM, 2014.Porena M. Long term efficacy of transobtrutor and retropubic mid-urethral sling for stress urinary incontinence single-centre update from a non-randomized controlled trial,Eur Urol 66 599 -601

[22] OgahJ,CodyDJ,RogersonL, 2011.Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women: a short cochrane review,Neurol Urodyn 30 284 -91

[23] GiovanniAT,CoastintinoDC,CormenF,AnnamariaF,CarmineN., 2015.Medium-term and long-term outcomes following placement of midurethral slings for stress urinary incontinence: a systematic review and metaanalysis,Int. Urogynecol J 26 1253 -68

[24] IngridK,MaysoonE,TylerW,StephenW,TomM,SueR, 2010.Complications of the tension-free vaginal tape procedure for stress urinary incontinence,Int Urogynecol J 21 1353 -7

[25] AnnettaM,MadsenA,SherifA,El- Nasher,WoelkJ, 2014.A cohort study comparing a single-incision mini-sling with a retropubic midurethral sling,Int Urogynecol J 25 351 -8

[26] KarinG,SusyS. Incidence, 2015.and treatment of postoperative voiding dysfunction after tension-free vaginal tape procedure,Int Urogynecol J 25 1657 -60

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