Stress urinary incontinence is a condition
that directly affects patients lifes quality. The ideal surgical treatment would be
the one free, or the minimum morbidity allied to a high rate of success (dry patient).
The TVT is a recent technique. The only follow-up of 5 years that exists is the one of its
inventor (Ulmsten), but it leaves us optimistic because the rate of initial and long term
cure compare to classical surgeries that are recognized as being effective (Burch4,5 and Sling6) with the
advantage of a low morbidity. Besides this, some casuistry2 have shown an improvement of the irritative
symptoms resulting from detrusor overactivity. Taking into consideration that the
irritative symptoms resulting from the detrusor overactivity have a bigger impact on the
life quality of the patients, we consider it as na important finding.
The above described case allows us to say that the TVT can be used with sucess a second
time, on the same patient, mainly when the cause of failure was due to the technique and
not by indication (in the described case it was because we sutured the tape with
More studies must be made to prove the reproductiveness of the method and success at long
term (5 years or more) in other acts and to be able to define which would be the cases
that the TVT can be repeated on the same patient.