Int Urogynecol J Pelvic Floor Dysfunct. 2006 Aug 15;

Result of the tension-free vaginal tape in patients with concomitant prolapse surgery: a 2-year follow-up study. An analysis from the Netherlands TVT database.

Authors:

Schraffordt Koops SE ,Bisseling TM,van Brummen HJ,Heintz AP,Vervest HA.

Department of Gynecology and Obstetrics, Meander Medical Center, Ringweg Randenbroek 110, 3816 CP, Amersfoort, The Netherlands, schraff@zonnet.nl. This study assessed the long-term outcome of tension-free vaginal tape (TVT) in women with concomitant pelvic surgery. A prospective cohort study of 746 patients in 41 hospitals was undertaken. The Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) were used to measure the results of the TVT. Fifty-nine patients with concomitant prolapse surgery were compared with 687 women with TVT only. The decrease in IIQ/UDI mean scores were statistically significant in both groups after the TVT. The success rates of "no leakage at all" is comparable for both groups. This study, with 54 gynecologists and urologists participating, showed the long-term (2 years) success rates of TVT with concomitant prolapse surgery. It shows that the procedure in conjunction with prolapse surgery can be safely performed with good results.


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