Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement

Jonathan A. Eandi, Stacy T. Tanaka, Nicholas J. Hellenthal, R. Corey O'Connor, Anthony R Stone

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objective: To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure. Materials and Methods: Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remove the previously placed sling at the time of surgery. A retrospective chart review was performed to obtain perioperative and follow-up patient information. Post-operatively, each patient completed a mailed incontinence questionnaire to assess self-reported urinary continence outcomes. Results: All 10 women were available for follow-up at a mean period of 16 months (range 6 to 33). Four of the 10 patients achieved complete continence, and another three patients reported significantly improved continence and quality of life. Three women stated that their continence did not improve. Conclusions: TVT placement may be a viable option for the management of women with persistent or recurrent SUI following an initial MUS procedure.

Original languageEnglish (US)
Pages (from-to)336-341
Number of pages6
JournalInternational Braz J Urol
Volume34
Issue number3
StatePublished - May 2008

Keywords

  • Female
  • Prostheses and implants
  • Slings
  • Stress urinary incontinence
  • Urinary incontinence

ASJC Scopus subject areas

  • Nephrology

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    Eandi, J. A., Tanaka, S. T., Hellenthal, N. J., O'Connor, R. C., & Stone, A. R. (2008). Self-reported urinary continence outcomes for repeat midurethral synthetic sling placement. International Braz J Urol, 34(3), 336-341.