Abstract
Introduction and hypotheses
The aim was to evaluate the long-term (5 years) effect of performing a retropubic tension-free vaginal tape (TVT) operation after a prior failed mid-urethra sling procedure and try to identify reasons for failure of the primary operation.
Methods
We identified 26 women to whom a repeat mid-urethra sling procedure (using the TVT Gynecare device) had been performed. Both the primary and repeat operations were retropubic procedures. Four different tape materials had been utilized in the primary procedure.
Results
Twenty women (77%) of the identified 26 women participated in the study. Seventy-five percent of the women were cured or significantly improved after the repeat TVT procedure. Reasons for failure of the primary procedure were grouped as follows: inadequate tape material (four out of 20), inadequate surgical technique (six out of 20), patients' medical condition (four out of 20), and unrecognized reasons (six out of 20).
Conclusions
A retropubic mid-urethra sling operation can be considered after failed mid-urethra sling surgery.
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References
Alcalay M, Monga A, Stanton SL (1995) Burch colposuspension: a 10–20 year follow up. Br J Obstet Gynecol 102:740–745
Elkabir JJ, Mee AD (1998) Long-term evaluation of the Gittes procedure for urinary stress incontinence. J Urol 159:1203–1205
Corcos J, Fournier C (1999) Periurethral collagen injection for the treatment of female stress urinary incontinence: 4-year follow-up results. Urology 54:815–818
Nilsson CG (2004) Latest advances in TVT tension-free support for urinary incontinence. Surg Technol Int 12:171–176
Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J 19:1043–1047
Rezapour M, Ulmsten U (2001) Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence--a long-term follow up. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):9–11
Kuuva N, Nilsson CG (2003) Tension-free vaginal tape procedure: an effective minimally invasive operation for the treatment of recurrent stress urinary incontinence? Gynecol Obstet Invest 56:93–98
Kauppila A, Alavaikko P, Kujansuu E (1982) Detrusor instability score in the evaluation of stress urinary incontinence. Acta Obstet Gynecol Scand 61:137–141
Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–85
Ubersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and urogenital distress inventory. Continence program for women research group. Neurourol Urodyn 14:131–139
Stach-Lempinen B, Kujansuu E, Laippala P, Metsanoja R (2001) Visual analogue scale, urinary incontinence severity score and 15 D-psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women. Scand J Urol Nephrol 35:476–483
Petrou SP, Frank I (2001) Complications and initial continence rates after a repeat pubovaginal sling procedure for recurrent stress urinary incontinence. J Urol 165:1979–1981
Liapis A, Bakas P, Lazaris D, Creatsas G (2004) Tension-free vaginal tape in the management of recurrent stress incontinence. Arch Gynecol Obstet 269:205–207
Tsivian A, Neuman M, Yulish E, Shtricker A, Levin S, Cytron S et al (2007) Redo midurethral synthetic sling for female stress urinary incontinence. Int Urogynecol J 18:23–26
Lee KS, Doo CK, Han DH, Jung BJ, Han JY et al (2007) Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: Rediscovery of the tension-free vaginal tape procedure. J Urol 178:1370–1374
Riachi L, Kohli N, Miklos J (2002) Repeat tension-free transvaginal tape (TVT) sling for the treatment of recurrent stress urinary incontinence. Int Urogynecol J 13:133–135
Villet R, Ercoli A, Atallah D, Hoffmann P, Salet-Lizee D (2002) Second tension-free vaginal tape procedure and mesh retensioning: two possibilities of treatment of recurrent-persistent genuine stress urinary incontinence after a primary tension-free vaginal tape procedure. Int Urogynecol J 13:377–379
Moore RD, Gamble K, Miklos JR (2007) Tension-free vaginal tape sling for recurrent stress incontinence after transobturator tape sling failure. Int Urogynecol J 18:309–313
Lo TS, Lee SJ (2007) Simple sling resection and a second, intermediate polypropylene mesh for treatment of vaginal tape protrusion concurrent with recurrent urinary stress incontinence after TVT procedure. J Obstet Gynaecol Res 33:739–742
Weinberger MW, Ostergard DR (1995) Long-term clinical and urodynamic evaluation of the polytetrafluoroethylene suburethral sling for treatment of genuine stress incontinence. Obstet Gynecol 86:92–96
Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P et al (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J 14:169–178
Balakrishnan S, Lim YN, Barry C, Corstiaans A, Kannan K et al (2007) Sling distress: a subanalysis of the IVS tapes from the SUSPEND trial. Aust N Z J Obstet Gynaecol 47:496–498
Comiter CV (2006) Surgery insight: management of failed sling surgery for female stress urinary incontinence. Nat Clin Pract Urol 3:666–674
Meschia M, Pifarotti P, Gattei U, Bertozzi R (2007) Tension-free vaginal tape: analysis of risk factors for failures. Int Urogynecol J 18:419–422
Debodinance P, Delporte P, Engrand JB, Boulogne M (2002) Tension-free vaginal tape (TVT) in the treatment of urinary stress incontinence: 3 years experience involving 256 operations. Eur J Obstet Gynecol Reprod Biol 105:49–58
Kulseng-Hanssen S, Husby H, Schiotz HA (2008) Follow-up of TVT operations in 1, 113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J 19:391–396
Hellberg D, Holmgren C, Lanner L, Nilsson S (2007) The very obese woman and the very old woman: tension-free vaginal tape for the treatment of stress urinary incontinence. Int Urogynecol J 18:423–429
Rezapour M, Falconer C, Ulmsten U (2001) Tension-free vaginal tape (TVT) in stress incontinent women with intrinsic sphincter deficiency (ISD)—a long-term follow-up. Int Urogynecol J 12(Suppl2):12–14
Araco F, Gravante G, Sorge R, Overton J, De Vita D, Sesti F et al (2008) TVT-O vs TVT: a randomized trial in patients with different degrees of urinary stress incontinence. Int Urogynecol J 19:917–926
Novara G, Ficarra V, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V et al (2007) Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. Eur Urol 52:663–678
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This study has been supported by grants of the Finnish Medical Association.
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Palva, K., Nilsson, C.G. Effectiveness of the TVT procedure as a repeat mid-urethra operation for treatment of stress incontinence. Int Urogynecol J 20, 769–774 (2009). https://doi.org/10.1007/s00192-009-0849-2
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DOI: https://doi.org/10.1007/s00192-009-0849-2