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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.

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Conflict of interest

I Giarenis - Speaker honorarium: Astellas

H Mastoroudes - None

L Cardozo - Consultant: AdvaMed, Astellas, Ethicon, Merck, Pfizer, Teva; Speaker honorarium: Astellas, Merck, Pfizer; Trial participation: Pfizer, Boston Scientific

D Robinson – Consultant: Astellas, Ferring, Gynaecare, Uroplasty, Pfizer, Recordati, Novo-Nordisc; Speaker honorarium: Astellas, Ferring, Gynaecare, Uroplasty, Pfizer, Recordati;Trial participation: Astellas, Pfizer, Boston Scientific

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Authors and Affiliations

  1. Department of Urogynaecology, King’s College Hospital, Denmark Hill, London, SE5 9RS, UK

    Ilias Giarenis, Heleni Mastoroudes, Linda Cardozo & Dudley Robinson

Authors
  1. Ilias Giarenis
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  2. Heleni Mastoroudes
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  3. Linda Cardozo
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  4. Dudley Robinson
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Correspondence to Ilias Giarenis.

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Giarenis, I., Mastoroudes, H., Cardozo, L. et al. What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation. Int Urogynecol J 23, 1117–1122 (2012). https://doi.org/10.1007/s00192-012-1720-4

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  • DOI: https://doi.org/10.1007/s00192-012-1720-4

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