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Patient-reported outcomes for tension-free vaginal tape-obturator in women treated with a previous anti-incontinence procedure

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Abstract

Our purpose was to evaluate the outcome of a subset of patients that had a tension-free vaginal tape-obturator (TVT-O) placed following a previous anti-incontinence procedure. We performed a retrospective analysis of 27 consecutive women who had a TVT-O placed from January 2004 to December 2007. Patients were given the Patient Global Impression of Improvement (PGI-I) questionnaire starting at the 3-month follow-up. Of 174 women who had a TVT-O placed, 27 (15.5%) had a prior failed anti-incontinence procedure or surgery performed. The mean age was 63.8 years (range 43–87). Mean follow-up was 25.7 months (range 12–47 months). Based on the PGI-I, the overall success rate was 80% (20/25). In the properly selected patients with prior intervention for stress urinary incontinence (SUI), the success rate for TVT-O of 80% appears to be comparable to that of patients who never had a previous surgical or minimally invasive treatment for SUI.

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Abbreviations

DO:

Detrusor overactivity

MUI:

Mixed urinary incontinence

PE:

Physical exam

PGI-I:

Patient global impression of improvement

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tape

TVT-O:

Tension-free vaginal tape obturator

UUI:

Urinary urge incontinence

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Authors and Affiliations

  1. NYU Medical Center, New York, NY, USA

    Grace Y. Biggs, Katie N. Ballert, Nirit Rosenblum & Victor Nitti

  2. 150 East 32nd Street 2nd floor, New York, NY, 10016, USA

    Grace Y. Biggs

Authors
  1. Grace Y. Biggs
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  2. Katie N. Ballert
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  3. Nirit Rosenblum
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  4. Victor Nitti
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Corresponding author

Correspondence to Grace Y. Biggs.

Appendix

Appendix

Patient Global Impression of Improvement—“Circle the one number that best describes how your urinary tract condition is now, compared with how it was before you had the operation.” We defined success as 1—very much better or 2—much better on the PGI-I questionnaire.

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Biggs, G.Y., Ballert, K.N., Rosenblum, N. et al. Patient-reported outcomes for tension-free vaginal tape-obturator in women treated with a previous anti-incontinence procedure. Int Urogynecol J 20, 331–335 (2009). https://doi.org/10.1007/s00192-008-0777-6

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  • DOI: https://doi.org/10.1007/s00192-008-0777-6

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