, Volume 23, Issue 8, pp 1117-1122
Date: 13 Mar 2012

What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation

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Abstract

Introduction and hypothesis

Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape.

Methods

A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted.

Results

At a median follow-up of 12 months, subjective and objective cure rate were 85% and 77%, respectively. Thirty percent of the women developed de novo detrusor overactivity that responded to antimuscarinic treatment. Long-term voiding difficulty was observed in only one patient, who performed clean intermittent self-catheterization for 3 months. Posterior vaginal wall prolapse requiring pelvic floor repair was found in three women (23%) postoperatively.

Conclusions

Open colposuspension is an effective option for treating persistent or recurrent stress urinary incontinence after failed midurethral tape, with a high success rate.