Does the tension-free vaginal tape stay where you put it?

被引:57
作者
Dietz, HP
Mouritsen, L
Ellis, G
Wilson, PD
机构
[1] Royal Hosp Women, Sydney, NSW, Australia
[2] Univ New S Wales, Sydney, NSW, Australia
[3] Glostrup Cty Hosp, Copenhagen, Denmark
[4] Univ Otago, Dunedin Sch Med, Dept Womens & Childrens Hlth, Dunedin, New Zealand
关键词
stress incontinence; surgery; translabial ultrasound; tension-free vaginal tape;
D O I
10.1067/mob.2003.268
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The tension-free vaginal tape (TVT) is a widely used procedure for the surgical treatment of urodynamic stress incontinence. Long-term follow-up data remain scarce. It has been speculated that scar formation leads to tape shortening and stiffening. This study was designed to longitudinally investigate tape position and mobility. STUDY DESIGN: An observational clinical study was performed using ultrasound parameters of tape position and mobility on Valsalva maneuver as main outcome parameters. RESULTS: Of 92 women eligible for a minimum of two postoperative assessments, 72 (78%) attended at least twice after TVT placement, at a median interval of 1.6 years. Sixty-eight data sets remained after exclusion of 4 patients who had undergone tape division. At the last visit, the tape was found to be more caudal, at rest (P <.001) and on Valsalva maneuver (P =.002). Tape mobility on Valsalva maneuver remained virtually unchanged. CONCLUSION: The TVT does not seem to contract or shorten over a median observation period of 1.6 years. On the contrary, it appears to slowly migrate caudally.
引用
收藏
页码:950 / 953
页数:4
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