A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence

被引：361

作者：

Ulmsten U. ^{[1
,7
]}

Falconer C. ^{[2
]}

Johnson P. ^{[1
]}

Jomaa M. ^{[3
]}

Lannér L. ^{[4
]}

Nilsson C.G. ^{[5
]}

Olsson I. ^{[6
]}

机构：

[1] Central Hospital, Växjö

[2] Central Hospital, Falun

[3] University Hospital, Helsinki

[4] Northern Älvsborg Hospital, NÄL

[5] Department of Obstetrics and Gynaecology, Uppsala University Hospital

来源：

International Urogynecology Journal | 1998年 / 9卷 / 4期

关键词：

Local anesthesia; Stress incontinence; Surgery;

D O I：

10.1007/BF01901606

中图分类号：

学科分类号：

摘要：

The aim of the study was to evaluate the safety and efficacy of TVT (tension-free vaginal tape) for the surgical treatment of stress urinary incontinence. The design was a prospective open multicenter study including six centers, each operating an approximately 20 patients. In total 131 patients suffering from genuine stress incontinence were included. They were followed for at least 1 year using a specific protocol for objective and subjective evaluation of the outcome. All patients underwent the operation under local anesthesia. Mean operation time was 28 minutes (range 19-41 minutes); 119 (91%) of the patients were cured according to the protocol and another 9 (7%) were significantly improved. There were 3 (2%) failures. The majority of the patients (about 90%) were operated upon on a day-care basis, which implied that they were released from the hospital within 24 hours, with no postoperative catheterization. No defect healing and no tape rejection occurred. Three patients needed an indwelling catheter for 3 days. In 1 patient catheterization was necessary for more than 10 days. Two uncomplicated hematomas and one uncomplicated bladder perforation occurred. Based on the results, we conclude that TVT is a safe and effective ambulatory procedure for surgical treatment of genuine stress urinary incontinence.

引用

页码：210 / 213

页数：3

共 17 条

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