A clinical study of results after operation using Tension-free vaginal tape.

Park, Sueng Geun; Baek, Young Chel; So, Young Hwan; Gal, Cheal Wo; Choi, Sook Hee; Kim, Yu Jin; Bae, Jae Woong; Kim, Dong Young

Original Article

Korean Journal of Obstetrics & Gynecology 2002;45(1):97-100.
Published online January 1, 2002.

A clinical study of results after operation using Tension-free vaginal tape.

Sueng Geun Park, Young Chel Baek, Young Hwan So, Cheal Wo Gal, Sook Hee Choi, Yu Jin Kim, Jae Woong Bae, Dong Young Kim

¹Department of Obsterics and Genecology, Dae dong Hospital, Korea.
²Department of Obsterics and Genecology Sewoong Hospital, Pusan, Korea.

Abstract

OBJECTIVE
The purpose of the study was to evaluate the safety and efficacy of tension-free vaginal tape (TVT) placement for surgical treatment of stress urinary incontinence (SUI) in women. METHODS: A retrospective study of 38 cases with SUI underwent the TVT procedure underlying local anesthesia at Daedong and Sewoong Hospital from March 2000 to December 2000, followed up more than six months who included in the study. RESULT: Operation times ranged from 20 to 53 minutes with a mean of 37.5 minutes. The mean blood loss was 90 mL. One major complication was encountered -bladder perforation (2.5%) and urinary retention was developed in 4 cases (10.5%). Length of hospital stay ranged from 0.8 to 11.3 days with a mean of 1.8 days. On postoperative follow-up from 6.1 to 17.5 months, thirty-three patients (87%) were cured, four (10.5%) were significantly improved and one was failed (2.5%). CONCLUSION: Althouth the follow-up period was short, the TVT procedure seemed to be a safe and effective method for the treatment of stress urinary incontience.

Key Words: Stress urinary incontinence, Tension free vaginal tape