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Analysis of risk factors associated with surgical failure of inside-out transobturator vaginal tape for treating urodynamic stress incontinence

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Abstract

The goals of this study were to assess the efficacy of inside-out transobturator vaginal tape (TVT-O) as a treatment of urodynamic stress incontinence (USI) and to explore the possible factors determining surgical success and failure. Each woman had a 20-min pad test and urodynamic study including uroflowmetry, cystometry, and stress urethral pressure profile before and after treatment. Forty-six of the 54 women (85%) were cured of the disease, and two (4%) showed clinical improvement; TVT-O had failed to treat USI in six patients (11%) during the 9-month follow-up period. We assessed the relationship between clinical features, urodynamic parameters, and treatment outcome. Of these, only age and previous anti-incontinence surgery were significant risk factors for surgical failure. The success rate during the 9-month follow-up period decreased significantly in women ≧60 years and in women with previous anti-incontinence surgery. Women with USI can be treated by the TVT-O procedure.

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Abbreviations

TVT:

tension-free vaginal tape

TVT-O:

inside-out transobturator vaginal tape

USI:

urodynamic stress incontinence

SUI:

stress urinary incontinence

ICS:

International Continence Society

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2 Yu-Der Road, Taichung, 404, Taiwan, Republic of China

    Huey-Yi Chen, Lian-Shung Yeh, Wei-Chun Chang & Ming Ho

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  1. Huey-Yi Chen
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  2. Lian-Shung Yeh
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  3. Wei-Chun Chang
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  4. Ming Ho
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Correspondence to Huey-Yi Chen.

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Chen, HY., Yeh, LS., Chang, WC. et al. Analysis of risk factors associated with surgical failure of inside-out transobturator vaginal tape for treating urodynamic stress incontinence. Int Urogynecol J 18, 443–447 (2007). https://doi.org/10.1007/s00192-006-0172-0

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  • DOI: https://doi.org/10.1007/s00192-006-0172-0

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