[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)

Objective: To evaluate the results of novel modifications on tension-free vaginal tape (TVT) in the treatment of female stress urinary incontinence (SUI). Methods: In all, 16 female patients with a mean (range) age of 49.29 (31–78) years, who underwent anti-incontinence surgery to correct their SUI...

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Autor principal:	Mahmoud Mustafa
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/25ea1fc3af42489f94bf34ad92047bfb
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spelling	oai:doaj.org-article:25ea1fc3af42489f94bf34ad92047bfb2021-12-02T10:04:12Z[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)2090-598X10.1016/j.aju.2018.10.040https://doaj.org/article/25ea1fc3af42489f94bf34ad92047bfb2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301347https://doaj.org/toc/2090-598XObjective: To evaluate the results of novel modifications on tension-free vaginal tape (TVT) in the treatment of female stress urinary incontinence (SUI). Methods: In all, 16 female patients with a mean (range) age of 49.29 (31–78) years, who underwent anti-incontinence surgery to correct their SUI between June 2010 and August 2014, were included. An in situ anterior vaginal wall sling was prepared, and monofilament polypropylene tape passed below the in situ sling and the standard TVT procedure was performed. Both ends of the mesh in the suprapubic region were labelled with polyglactin 910 (Vicryl®, Ethicon Inc., Somerville, NJ, USA) sutures and left outside the wound. The middle of the mesh in the vaginal region was labelled with a similar suture and left outside the vagina. The Foley catheter was removed on the third postoperative day. The mean (range) follow-up was 8 (5–17) months. Results: All patients benefited from the surgery; 15 (94%) of them were completely cured and one patient clinically improved. Urinary retention occurred in one patient, where the tension of the tape was reduced using adjustment sutures. No vaginal mesh erosion was detected during the gynaecological examination postoperatively. No significant post-voiding residue was detected after catheter removal. Conclusion: This technique provides a feasible option for adjusting the tension of the mesh in the early postoperative period in case of urinary retention. The presence of the intervening in situ sling reduces the risk of vaginal erosion. Long-term success is expected because dislocation of the mid-urethral sling is less likely.Mahmoud MustafaTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S40- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Mahmoud Mustafa [86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
description	Objective: To evaluate the results of novel modifications on tension-free vaginal tape (TVT) in the treatment of female stress urinary incontinence (SUI). Methods: In all, 16 female patients with a mean (range) age of 49.29 (31–78) years, who underwent anti-incontinence surgery to correct their SUI between June 2010 and August 2014, were included. An in situ anterior vaginal wall sling was prepared, and monofilament polypropylene tape passed below the in situ sling and the standard TVT procedure was performed. Both ends of the mesh in the suprapubic region were labelled with polyglactin 910 (Vicryl®, Ethicon Inc., Somerville, NJ, USA) sutures and left outside the wound. The middle of the mesh in the vaginal region was labelled with a similar suture and left outside the vagina. The Foley catheter was removed on the third postoperative day. The mean (range) follow-up was 8 (5–17) months. Results: All patients benefited from the surgery; 15 (94%) of them were completely cured and one patient clinically improved. Urinary retention occurred in one patient, where the tension of the tape was reduced using adjustment sutures. No vaginal mesh erosion was detected during the gynaecological examination postoperatively. No significant post-voiding residue was detected after catheter removal. Conclusion: This technique provides a feasible option for adjusting the tension of the mesh in the early postoperative period in case of urinary retention. The presence of the intervening in situ sling reduces the risk of vaginal erosion. Long-term success is expected because dislocation of the mid-urethral sling is less likely.
format	article
author	Mahmoud Mustafa
author_facet	Mahmoud Mustafa
author_sort	Mahmoud Mustafa
title	[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
title_short	[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
title_full	[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
title_fullStr	[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
title_full_unstemmed	[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)
title_sort	[86] double-tension adjustments with novel modification on tension-free vaginal tape (tvt)
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/25ea1fc3af42489f94bf34ad92047bfb
work_keys_str_mv	AT mahmoudmustafa 86doubletensionadjustmentswithnovelmodificationontensionfreevaginaltapetvt
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[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)

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