Effectiveness of the TVT procedure as a repeat mid-urethra operation for treatment of stress incontinence
Effectiveness of the TVT procedure as a repeat mid-urethra operation for treatment of stress incontinence
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DOI：
10.1007/s00192-009-0849-2
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发表时间：
2009-07-01
影响因子：
1.8
通讯作者：
Nilsson, C. G.
中科院分区：
文献类型：
--
作者：
Palva, K.;Nilsson, C. G.
我们的目的是评估长期（5年）的影响，进行耻骨后无张力阴道吊带（TVT）手术后，先前失败的尿道中段吊带程序，并试图找出原因失败的主要operation.We确定了26名妇女的重复尿道中段吊带程序（使用TVT Gynecare设备）已执行。初次和再次手术均为耻骨后手术。在初次手术中使用了四种不同的胶带材料，确定的26名妇女中有20名妇女（77%）参加了这项研究。75%的女性在重复TVT手术后治愈或显著改善。初次手术失败的原因分为以下几类：胶带材料不足（4/20）、手术技术不充分（6/20）、患者的医疗状况（4/20）和未识别的原因（6/20）。
The aim was to evaluate the long-term (5 years) effect of performing a retropubic tension-free vaginal tape (TVT) operation after a prior failed mid-urethra sling procedure and try to identify reasons for failure of the primary operation.We identified 26 women to whom a repeat mid-urethra sling procedure (using the TVT Gynecare device) had been performed. Both the primary and repeat operations were retropubic procedures. Four different tape materials had been utilized in the primary procedure.Twenty women (77%) of the identified 26 women participated in the study. Seventy-five percent of the women were cured or significantly improved after the repeat TVT procedure. Reasons for failure of the primary procedure were grouped as follows: inadequate tape material (four out of 20), inadequate surgical technique (six out of 20), patients' medical condition (four out of 20), and unrecognized reasons (six out of 20).A retropubic mid-urethra sling operation can be considered after failed mid-urethra sling surgery.