JOURNAL OF FEMALE
We identified the determinants of patient satisfaction after a
tension-free vaginal tape procedure.
AND METHODS: We retrospectively analyzed the records of 187
consecutive women with genuine stress (133) and mixed (54) incontinence.
The objective cure rate was determined by clinical and urodynamic
examination, and the subjective cure rate was assessed by a visual analog
scale and the Contilife questionnaire.
Mean follow-up was 27 months (range 6 to 34). The overall complication
rate was 35.3%. The major perioperative and postoperative complications
were bladder injury in 9.6% of cases, urinary retention in 6.4%, difficult
voiding in 10.7% and new onset urge symptoms in 21.3%. The overall
objective and subjective cure rates were 90.4% and 70.6%, respectively.
The mean preoperative and postoperative visual analog scale score plus or
minus standard deviation was 6.2 +/- 2.4 and 0.9 +/- 2.2, respectively (p
= 0.0001). The subjective cure rate was significantly lower in women who
underwent the procedure under general or spinal anesthesia than in those
who received local anesthesia (p = 0.01). This difference was related to
the rate of new onset urge symptoms. The mean postoperative visual analog
scale score in women with and without new onset urge
symptoms was 2.2 +/- 3.2 and 0.2 +/- 0.7, respectively (p =
0.0001). No difference in the subjective cure rate was detected according
to patient age, menopausal status, previous incontinence surgery, the body
mass index, additional procedures associated with tension-free vaginal
tape surgery or the Ingelman-Sundberg classification. CONCLUSION: These
results confirm that the tension-free vaginal tape procedure is associated
with a high objective but lower subjective cure rate. The procedure
performed using local anesthesia was associated with a lower incidence of
difficult voiding and new onset urge symptoms.
Aparecido Donizeti Agostinho
Abstracts | Links | Investigative
Section | News | Authors
Section | Supporter |
| Debate Forum | Poster Section | Review Articles | Up to date | Calendar | Editorial Board | Home |