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KMID : 0877720060100010023
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Journal of Korean Continence Society
2006 Volume.10 No. 1 p.23 ~ p.27
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Six-year Outcome of the Tension-free Vaginal Tape Procedure for the Treatment of Female Stress Urinary Incontinence
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Yoon Chang-Jun
Jung Hee-Chang
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Abstract
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Purpose: We evaluated the efficacy and safety of the tension-free vaginal tape(TVT) procedure for the treatment of female stress urinary incontinence over a 6-year period.
Materials and Methods: We reviewed retrospectively our experience with 63 patients who underwent a TVT procedure for stress urinary incontinence, between March 1999 and March 2000. The preoperative evaluations included a comprehensive medical history, physical examination, urinalysis, urine culture, one hour pad test, urodynamic study including valsalva leak point pressure(VLPP) and maximal urethral closing pressure(MUCP). Long-term evaluations were performed by questionnaires on the durability of surgical outcome and the patients’ satisfaction of the procedure.
Results: The TVT procedure remained successful in 95.2%(cured 81.0%, improved 14.3%) and 93.7%(cured 77.8%, improved 15.9%) at the 1 and 6-year follow-up, respectively. The satisfaction rates were 93.7% and 92.1%, at the 1 and 6-year follow-up, respectively. There were no serious or long-term complications related to the procedure.
Conclusion: The TVT procedure seems to be a minimally invasive, safe and effective surgical procedure for the treatment of female stress urinary incontinence, with long-term durability of continence and minimal complications related to the surgery.
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KEYWORD
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Stree urinary incontinence, Tension-free vaginal tape
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