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Dissertations / Theses on the topic 'Tension free vaginal tape (TVT)'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Weitzel, Annegret. "Tension Free Vaginal Tape (TVT)." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-76515.

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2

Czaja, Nicole [Verfasser]. "Subjektive und objektive Ergebnisse der TVT (Tension-free Vaginal Tape) in der Inkontinenzbehandlung / Nicole Czaja." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2008. http://d-nb.info/1022764411/34.

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3

Lord, Helen Elizabeth. "A randomised controlled equivalence trial comparing tension-free vaginal tape (TVT) with suprapubic urethral support sling (SPARC)." University of Western Australia. Faculty of Medicine and Dentistry and Health Sciences, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0086.

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[Truncated abstract] Approximately 35% of women worldwide have stress incontinence, which is defined as involuntary leakage of urine on effort, exertion, or on sneezing and coughing. There are various surgical techniques for stress incontinence; however, minimally invasive operations are increasingly being chosen by surgeons and their patients. Of these procedures, tension-free vaginal tape (TVT) has a cure rate of approximately 90% and is now perceived as the standard technique for stress incontinence. Reported complications of TVT include arterial laceration, bladder perforation, bowel perforation, de novo urgency, dyspareunia, excessive blood loss, haematoma, nerve injuries, urethral erosion, urge incontinence, urinary tract infection, vascular injury, vaginal mesh erosion, voiding dysfunction and death. Suprapubic urethral support sling (SPARC) is a very similar minimally invasive operation and early indications suggested that the success rate for treating stress incontinence was expected to be identical or better than those obtained with the earlier TVT approach, with possibly fewer adverse perioperative events. Our trial sought to establish equivalence between TVT and SPARC in relation to short-term complications and efficacy. OBJECTIVES The primary outcome was bladder perforation. Secondary outcomes were blood loss, voiding difficulty, urgency, and cure of stress incontinence symptoms. METHOD A randomised controlled one-sided equivalence trial (RCT) was conducted in Perth, Western Australia during 2003 and 2004 by researchers in the School of Population Health, University of Western Australia (UWA) and King Edward Memorial Hospital (KEMH). Patients were recruited from the public Urology/Urogynaecology Clinic at the primary women's hospital and the consultant surgeons' private practices. ... However, acute urinary retention requiring a return to theatre to loosen the tape (TVT 0%, SPARC 6.5%; OR: [infinity], 95% CL: 2.2, [infinity]; p=0.002) and subjective short-term cure (TVT 87.1%, SPARC 76.5%; OR: 2.07, 95% CL: 1.13, 3.81; p=0.03) were statistically significantly different. CONCLUSIONS The results are consistent with clinical equivalence between TVT and SPARC in relation to the incidence of bladder perforation. No statistically significant difference was found between TVT and SPARC in blood loss, urgency or short-term objective cure of stress incontinence at the six week post-discharge visit to the surgeon. However, the tapes were more difficult to adjust correctly in SPARC procedures and a statistically significant number of patients required a return to theatre for loosening of the tape (TVT 0/147, 0% and SPARC 10/154, 6.5%, p=0.002). Compared with SPARC, TVT was statistically significantly higher for subjective short-term cure. In ii relation to vaginal mesh erosion, TVT was lower than SPARC, though not statistically significantly. Overall, voiding difficulty (loosening of the tape), urgency and vaginal mesh erosion were the most important clinical problems. This randomised controlled trial demonstrates the importance of testing new devices which appear to be similar, but which may have clinically relevant differences. A follow up study to assess the long-term efficacy of tension-free vaginal tape and suprapubic urethral support sling and associated complications is planned.
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4

Brügel, Jacob [Verfasser], and Torsten [Akademischer Betreuer] Birkholz. "Retrospektive Vergleichsuntersuchung zu verschiedenen Anästhesieregimen bei der Anlage von tension-free-vaginal tapes (TVT) / Jacob Brügel. Gutachter: Torsten Birkholz." Erlangen : Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2013. http://d-nb.info/1054165173/34.

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5

Molsner, Jochen. "Effektivitäts- und Kostenanalyse verschiedener Harninkontinenzoperationsverfahren in einem Krankenhaus mittlerer Grösse im Zeitraum von 1996 bis 2004 Vergleich von Kolposuspension tension free vaginal tape (TVT), suprapubic arc sling (Sparc), transobturator subfacial hammock (Monarc) /." [S.l.] : [s.n.], 2005. http://deposit.ddb.de/cgi-bin/dokserv?idn=975038486.

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6

Molsner, Jochen. "Effektivitäts- und Kostenanalyse verschiedener Harninkontinenzoperationsverfahren in einem Krankenhaus mittlerer Größe im Zeitraum von 1996 bis 2004 Vergleich von Kolposuspension, Tension Free Vaginal Tape (TVT TM), Suprapubic Arc Sling (Sparc TM), Transobturator Subfascial Hammock (Monarc TM) /." [S.l. : s.n.], 2005. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB11811179.

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7

Renner, Stephanie. "Langzeitstudie zum Outcome nach tension-free vaginal tape - klinische Beurteilung einer minimal invasiven Operationsmethode zur Behebung der weiblichen Stressharninkontinenz." Diss., lmu, 2010. http://nbn-resolving.de/urn:nbn:de:bvb:19-124621.

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8

Pedroletti, Corinne. "Tension-free Vaginal Tape at a Medium Sized Hospital in Sweden short- and Long-term Results in Different Patient Groups /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [distributör], 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-121550.

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9

Duckett, Jonathan R. A. "Why does detrusor overactivity and symptoms of the overactive bladder (OAB) get better after the tension free vaginal tape operation?" Thesis, Imperial College London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.538688.

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10

Valpas, A. (Antti). "Evaluation of laparoscopic colposuspension and the tension-free vaginal tape procedure in the surgical treatment of female stress urinary incontinence." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514278275.

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Abstract Though not a life threatening condition, involuntary loss of urine is a miserable situation. It has a multidimensional effect on the afflicted individuals, both men and women – and for the society. The purpose of this study was to evaluate two modern, minimally invasive surgical techniques for the treatment of female stress urinary incontinence (SUI). The techniques evaluated were laparoscopic colposuspension with mesh and staples (LCM) and the tension-free vaginal tape procedure (TVT). The study consisted of four parts. The first part (Study I) was an observational retrospective follow-up study. Data on the first forty patients operated on with LCM at Oulu University Hospital were collected. Patients had SUI or mixed urinary incontinence (MUI) with predominantly stress incontinence. The Studies II–IV were parts of a randomized, multicenter clinical trial, where LCM was compared with TVT. According to the predefined inclusion criteria 128 SUI women were randomly allocated into two treatment groups: 70 patients received TVT treatment as allocated and 51 LCM. There were seven drop-outs after randomization. After one year of follow-up the cure and improvement rate of the patients operated with LCM were ~ 90%. Also a significant improvement was found in Urinary Incontinence Severity Scores (UISS). At base line the score was 12.1 and after one year follow-up 2.7 (p < 0.001). The bladder perforation rate was 15%. In Study II immediate cure rates and complications of LCM and TVT were studied. After six weeks of follow-up there was no difference in cure rates (~ 90%) between the procedures. There was no difference in complication rates. A significant difference was found in the use of anti-inflammatory / opioid drugs in the immediate post-operative period to relief the pain in favour for TVT. Hospital care was also significantly shorter after TVT than LCM. After one year of follow-up (Study III) TVT was found to give better result both objectively and subjectively. Negative stress test result was recorded in 85.7% in the TVT group and 56.9% in the LCM group. A significant difference was also found, when Visual Analoque Scale (VAS), King's College Health Questionnaire (KHQ) and UISS were used as outcome measures, in the favour of TVT. When 48-hour pad test was used as outcome measure there was no statistically significant difference between the groups. The cost-effectiveness (Study IV) of TVT was found to be better than that of LCM after one year of follow-up. In conclusion, the results of this study suggest, that TVT procedure is on the whole a cost-effective alternative for LCM in the treatment of female SUI.
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11

Bauer, Andrea. "Tension-free vaginal Tape (TVT) - Eine urodynamische und klinische Verlaufsbeobachtung." Doctoral thesis, 2006. https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-22657.

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Im Zeitraum ziwschen 11/97 und 03/03 wurden 435 Patientinnen in der gynäkologischen Abteilung der Missionsärztlichen Klinik mittels eines tension-free vaginal Tape (TVT) wegen einer Stressharninkontinenz operiert. Über einen schriftlichen Fragebogen, konnten 403 Patientinnen retrospektiv hinsichtlich ihrer subjektiven Zufriedenheit mit der Operationsmethode und Faktoren, die zur Unzufriedenheit nach TVT-Operation beigetragen haben evulatiert werden. 32 der unzufriedenen Patienten standen für eine klinische und urodynamische Kontrolluntersuchung zum Vergleich subjektiver und objektiver Ergebnisse sowie zum Vergleich der der prä- und postoperativen Untersuchungsergebnisse zur Verfügung. Mit Hilfe der Ergebnisse sollten Ursachen der subjektiven Unzufriedenheit erkannt und mögliche Prognosefaktoren für einen operativen Misserfolg abgeleitet werden. Die subjektive Zufriedenheit nach TVT-Operation lag bei 65%, 18% waren unzufrieden. Subjektiv kontinent waren 52%. Prognostisch ungünstige Faktoren waren das Alter der Patiennten, eine präoperativ bestehende Stress-Drang-Inkontinenz, Inkontinenz- und Deszensusoperationen in der Ananmnese oder Kombinationseingriffe. Bezüglich der urodynamischen Parameter geht eine Erhöhung des maximalen urethralen Verschlussdruckes und eine Zunahme der Restharnmenge postoperativ mit einem besseren Therapieerfolg einher. Morphologisch war eine Verlängerung der Distanz D im lateralen Urethrozystogramm prognostisch günstig
The objetive of this study was to assess patient satisfaction rates after TVT sling procedure for stress urinary incontinence, to evaluate the reasons for dissatisfaction and to define prognostic factors for the surgical outcome. All TVT sling cases during 11/97 and 03/03 were included. Data was collected retrospectively with a patient satisfaction questionnaire. 32 of the unsatisfied patients came to an urodynamic und clinical follow-up to compare objective and subjective results. 65% were satisfied with the procedure, 18% were unsatisfied. The subjective cure rate was 52%. Prognostic facors for patients dissatisfaction were age, mixed urinary incontinence, previous surgery for incontinence or prolaps and TVT combined with other surgical procedures for incontinence or prolaps. An increase of maximal urethral closure pressure and of the residual urine in the urodynamic findings correlated with a better surgical outcome. Morphological the increase of distance D in the lateral urethrozystogram correlated with an improvement of stress urinary symptoms
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12

Bauer, Andrea [Verfasser]. "Tension free vaginal tape (TVT) : eine urodynamische und klinische Verlaufsbeobachtung / vorgelegt von Andrea Bauer." 2007. http://d-nb.info/984259929/34.

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13

Weitzel, Annegret [Verfasser]. "Tension free vaginal tape (TVT) : Erfolgsraten bei Allein- und Kombinationseingriffen bei Frauen mit Stressharninkontinenz / vorgelegt von Annegret Weitzel." 2007. http://d-nb.info/986998206/34.

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14

Lepler, Katrin. "Tension-free Vaginal Tape Obturator System (TVT-O): Eine prospektive, urodynamische und klinische Verlaufsbeobachtung einer neuen Operationstechnik der weiblichen Harninkontinenz." Doctoral thesis, 2010. https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-49379.

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In der vorliegenden Arbeit wurden die Operationsergebnisse bei 70 Patientinnen mit Stressinkontinenz oder Mischinkontinenz untersucht, die von Januar 2004 bis April 2005 in der Abteilung für Gynäkologie und Geburtshilfe der Missionsärztlichen Klinik Würzburg ein TVT-O bekommen hatten. Nach durchschnittlich 7 Monaten wurden die Patientinnen schriftlich oder mündlich befragt, die Hälfte der Patientinnen stand außerdem einer Nachuntersuchung zu Verfügung. Zwischen diesen beiden Gruppen bestanden keine wesentlichen Unterschiede. 86,67% der Patientinnen bezeichneten sich im Bezug auf die Inkontinenz als geheilt oder ihre Beschwerden zumindest als gebessert und drei Viertel der Frauen würden die Operation weiter empfehlen. Prognostisch günstig waren reine Stressinkontinenz, jüngeres Lebensalter so wie keine vorausgegangenen Eingriffe am Urogenitaltrakt. Mittels präoperativer urodynamischer Untersuchung ließ sich keine Unterscheidung zwischen anamnestisch reiner Stressinkontinenz und Mischinkontinenz vornehmen und keine Aussage über die Prognose treffen. Postoperativ fand sich ein höherer Urethraverschlussdruck bei der urodynamischen Untersuchung im Vergleich zum präoperativen Befund. Im lateralen Urethrozystogramm zeigten sich signifikante morphologische Unterschiede zwischen den Patientengruppen mit reiner Stressinkontinenz und mit gemischter Inkontinenz. Außerdem ließ sich im lateralen Urethrozytogramm postoperativ zeigen, dass das TVT-O die Absenkung des Blasenhalses unter Belastung verringert sowie zu einer Verkleinerung des Inklinationswinkels α führt. An Komplikationen kam es bei unseren Patientinnen einmal zu einer Blasenperforation, die konservativ behandelt wurde und einmal zu einer relevanten Nachblutung, die eine Revisions- operation erforderlich machte. 9% der Patientinnen gaben postoperativ de novo urge an. Insgesamt zeigte sich bei der vorliegenden Arbeit, dass es sich beim TVT-O um eine risikoarme operative Therapie der Harninkontinenz handelt, die auch älteren Patientinnen empfohlen werden kann und die bei einem sehr großen Teil der behandelten Patientinnen zu einem zufriedenstellenden Ergebnis führt
The aim of the study was to evaluate the results of the TVT-O-Procedure which was effected at 70 Patients, who were treated for stress urinary incontinence or mixed incontinence in the Medical Mission Hospital Würzburg. The medium follow-up time was 7 months. All patients were questioned by means of a standardised questionnaire, half of the patients were examined as well. There was no significant difference between both groups. 86.67% of the patients described themselves as cured or their symptoms had improved, and 75% of the women would recommend the operation to others. Patients being of younger age and those not having had any previous urogenital surgery and SUI alone led to higher curing rates. The preoperative urodynamic investigation showed no difference between pure stress incontinence and mixed incontinence. Postoperatively, urethral closing pressure was higher than preoperative. In the lateral urethrocystogramme, significant morphological differences between the group of patients with pure stress incontinence and mixed incontinence were found. The lateral Urethrozytogramm also showed, that the TVT-O reduces the lowering of the bladder neck under stress. The complication rate was low. One bladder perforation, which was treated conservatively and one relevant bleeding, which made revision operation necessary. 9% of patients reported postoperative de novo urge. Summary: The results of the study suggest that TVT-O is a safe and efficient treatment of female urinary incontinence, which can also be recommended to elderly patients and has satisfactory results for most of the patients
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15

Lepler, Katrin Alena [Verfasser]. "Tension-free-vaginal-tape-obturator-System (TVT-O) : eine prospektive, urodynamische und klinische Verlaufsbeobachtung einer neuen Operationstechnik der weiblichen Harninkontinenz / vorgelegt von Katrin Alena Lepler, geb. Ruf." 2010. http://d-nb.info/1005165521/34.

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16

Molsner, Jochen [Verfasser]. "Effektivitäts- und Kostenanalyse verschiedener Harninkontinenzoperationsverfahren in einem Krankenhaus mittlerer Größe im Zeitraum von 1996 bis 2004 : Vergleich von Kolposuspension tension free vaginal tape (TVT), suprapubic arc sling (Sparc), transobturator subfacial hammock (Monarc) / vorgelegt von Jochen Molsner." 2005. http://d-nb.info/975038486/34.

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17

Zapletalová, Barbora. "Kvalita života žen se stresovou močovou inkontinencí." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-330078.

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Title: Quality of life of women with urinary stress incontinence Objectives: The aim of this thesis was to assess quality of life of women after conservative therapy and chirurgic therapy of urinary stress incontinence in Brno-město and Brno- venkov district. Methods: We did a questionnaire survey on quality of life by using a standardized questionnaire I-QoL (Urinary Incontinence Quality-of-life questionnaire). The questionnaire survey was conducted in patients after conservative or surgical therapy by TVT or TOT tape. Subjectively perceived quality of life of these patients after completion of the therapy was observed. The results were compared between the groups undergoing conservative and surgical therapy by TVT or TOT tape. Results: After the output assessment of quality of life of patients after the treatment, we found that there is a difference in the quality of life of patients treated conservatively and surgically by TVT or TOT tape. Patients treated surgically had higher quality of life than patients treated conservatively by 9%. We also found that there is a difference in the physical, mental and social scores of the groups. The respondents who were treated conservatively had lower score in all evaluated areas with the greatest difference in the physical area and the smallest difference...
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18

Hubka, Petr. "Variace abnormalit foramen obturatum a retropubického prostoru a jejich vztah ke komplikacím páskových operací." Doctoral thesis, 2011. http://www.nusl.cz/ntk/nusl-311438.

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Introduction: The knowledge of anatomy is crucial for introduction of new surgical methods. It is also of especial use while dealing with surgical complications during surgeries with limited surgical field, where the way of approach limits the management of complications. It was assumed that common anatomical variations would influence different efficacy of surgeries and would explain potential complications. Methods: During anatomical dissections fifty female cadavers were dissected and tension-free vaginal tapes TVT-S H, TVT-S U, TVT Abbrevo and Ajust were studied. A novel descriptive system for localisation of the tape was created. During the dissection the tape was located and its localisation and fixation was described. Results: Common anatomical variation in the sample was corona mortis with frequency of 72 %. Preperitoneal fatty plug, which is recognized by some authors as the first stage of obturator hernia, was found in 40 % in obturator canal. The proper fixation of TVT-S H was achieved in 53.6 %. In 10.5 % urinary bladder was injured. In case of TVT-S U the proper fixation occurred in 63.8 %. In two cases the inserter was nearby corona mortis. Within the group of TVTO Abbrevo the tape was fixated properly into the obturator complex (consists of the obturator membrane and obturator muscles) in...
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19

Renner, Stephanie [Verfasser]. "Langzeitstudie zum Outcome nach tension-free vaginal tape : klinische Beurteilung einer minimal-invasiven Operationsmethode zur Behebung der weiblichen Stressharninkontinenz / vorgelegt von Stephanie Julia Christiane Renner." 2010. http://d-nb.info/1009820427/34.

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