Abstract

CANTO, Maialen del et al. The use of tension-free vaginal tape associated with pelvic floor reconstructive surgery. Actas Urol Esp [online]. 2009, vol.33, n.10, pp.1097-1102. ISSN 0210-4806.

Objective: We present our medium- to long-term results for the use of TVT for female stress urinary incontinence (SUI) employed concomitantly with surgical correction of pelvic floor prolapse in order to provide an integral solution. Material and methods: Between January 2000 and May 2008, 171 women with pelvic floor disorders underwent a surgical procedure with TVT. 117 of those women received TVT as a sole treatment for SUI; in the 54 remaining patients who suffered from some type of pelvic organ prolapse, TVT was associated with a vaginal procedure to correct the prolapse (cystocele, rectocele, prolapsed uterus). Results: Mean follow-up time was 36 months (range 12-108). The mean age was 55 years (35-78) in group 1 and 57 years (range 43-76) in the group for which TVT was associated with a pelvic floor correction. The parity was 2.23 (range 0-6) in group 1 and 3.12 (1-6) in group 2. There are some differences in the initial medical complaints among both groups. The mean hospitalisation time was 24 hours in group 1 and 4 days in group 2. The most serious complication was bladder perforation during surgery, which occurred in seven patients. The most frequent complication was the onset of de novo urge symptoms (overactive bladder), which was similar in both groups. Conclusions: TVT remains the gold standard treatment for female SUI with proven results in the literature, and may be safely and effectively associated with pelvic floor reconstructive surgery without increasing the technique’s morbidity rate.

Keywords : TVT; Stress urinary incontinence; Pelvic organ prolapse; Pelvic floor.

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