Journal articles: 'Tension free vaginal tape (TVT)'

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Gunnemann, A. "Transobturatorisches Tape (TOT), Tension free vaginal Tape (TVT)." Aktuelle Urologie 46, no. 05 (September 17, 2015): 410–15. http://dx.doi.org/10.1055/s-0035-1564153.

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Potic, Milan, Ivan Ignjatovic, and Dragoslav Basic. "Tension free vaginal tape (TVT) vs transobturator tape(TOT) complications and outcomes." Acta chirurgica Iugoslavica 61, no. 1 (2014): 81–84. http://dx.doi.org/10.2298/aci1401081p.

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Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher complication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Methods: Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months. Results: The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures. Conclusion: Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.

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Takeyama, Masami, Masanori Noma, Keisuke Yamamoto, Hiroshi Kiuchi, Toshiaki Hirai, Minori Matsumoto, Masahiro Nakagawa, and Minoru Koga. "COMPLICATIONS OF TENSION-FREE VAGINAL TAPE PROCEDURE." Japanese Journal of Urology 97, no. 4 (2006): 619–24. http://dx.doi.org/10.5980/jpnjurol1989.97.619.

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Bhadana, Priyanka. "Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up." Journal of South Asian Federation of Obstetrics and Gynaecology 9, no. 2 (2017): 95–99. http://dx.doi.org/10.5005/jp-journals-10006-1467.

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ABSTRACT Objective To compare the effectiveness of tension-free vaginal tape (TVT) and tension-free obturator tape (TOT) in treatment of genuine stress urinary incontinence and study the related complications. Materials and methods About 150 cases with complaints of stress urinary incontinence were taken during 5-year period, and they were confirmed urodynamically. Exclusion criteria included patients with diabetes mellitus, neurological disorders, other forms of incontinence, uterovaginal prolapse, urinary tract infection, and pregnancy. Out of 150 cases, 70 underwent TVT procedure and 80 were taken up for TOT. The outcome was studied at the end of 5 years. Results The cure rate in the TOT group was 94%, which was slightly higher than the TVT group, which came out to be 90%. The failure rate in the TVT group was 1.1%, but no failure was encountered in the TOT group. However, the improvement rates were similar in each group. Comparing the complications in each group, the rate of bladder perforation and postoperative retention of urine was much higher in the TVT group. Postoperative voiding difficulties were also noticeably less in TOT group compared with TVT group. However, none of the cases in either group had de novo urgency. Conclusion Both the procedures are a safe and effective method of curing stress incontinence; however, owing to slightly higher improvement rates and lower complications rate, TOT should be preferred over TVT. How to cite this article Bhadana P, Mittal P, Bachani S. Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up. J South Asian Feder Obst Gynae 2017;9(2):89-93.

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Aniulienė, Rosita. "Tension-free vaginal tape versus tension-free vaginal tape obturator (inside-outside) in the surgical treatment of female stress urinary incontinence." Medicina 45, no. 8 (August 9, 2009): 639. http://dx.doi.org/10.3390/medicina45080083.

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The objective of this study was to compare TVT (tension-free vaginal tape) and TVT-O (tension-free vaginal tape obturator from inside to outside) procedures for the female surgical treatment of stress urinary incontinence: results, complications, and effectiveness after 1 year. Material and methods. A prospective randomized study was carried out. The patients were followed up for 12 months. A total of 114 patients were operated on using TVT procedure and 150 patients – TVT-O procedure. There was no significant difference in age, body mass index, parity, menopausal status, and prolapse (no patients had cystocele greater than stage II) comparing both groups. Results. The mean time in surgery was significantly shorter in the TVT-O group (19±5.6 min) as compared with the TVT group (27±7.1 min). No differences in the effectiveness of both procedures were found: TVT – 94.6% and TVT-O – 94.6% after one year, respectively. Hospital stay was significantly shorter in the TVT-O group (1.5±0.5 days) than in the TVT group (4.0±1.6 days). Significantly fewer complications were observed in the TVT-O group. Conclusion. TVT and TVT-O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT-O group had shorter time in surgery and showed a lower rate of complications.

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Schätz, Tobias, Stephan Hruby, Daniela Colleselli, Günter Janetschek, and Lukas Lusuardi. "A severe complication of mid urethral tapes solved by laparoscopic tape removal and ureterocutaneostomy." Canadian Urological Association Journal 7, no. 9-10 (September 10, 2013): 598. http://dx.doi.org/10.5489/cuaj.393.

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Mid-urethral tapes are largely used to manage stress urinary incontinence(SUI). In certain cases, however, this procedure results in bothersome complications that lead to complete resection. We present the case of an 85-year-old woman who presented with ongoing suprapubic pain, hematuria, vaginal bleeding and recurrent urinary tract infections. The patient had undergone a tension-free vaginal tape (TVT) procedure in 1999 and a transobturator tape (TOT) placement in 2003 for SUI. Investigations revealed a urethral stone, erosion of both TOT and TVT and an urethra-vaginal fistula. Under local anesthesia the urethral stone was removed endoscopically and the TOT removed via a vaginal approach. Due to her comorbidity, she underwent a laparoscopic intraperitoneal removal of the TVT and a definitive ureterocutaneostomy to relieve her pain, inflammation and incontinence. This is the first ever presented case of erosion of mid-urethral tapes and incontinence treated with a laparoscopic resection of the tape and ureterocutaneostomy as definitive urinary diversion.

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Flock, F., F. Kohorst, R. Kreienberg, and A. Reich. "Ultrasound Assessment of Tension-Free Vaginal Tape (TVT)." Ultraschall in der Medizin - European Journal of Ultrasound 32, S 01 (November 15, 2010): 35–40. http://dx.doi.org/10.1055/s-0029-1245798.

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Stelea, Lavinia, Veronica Daniela Chiriac, Marius Craina, Izabella Petre, Zoran Popa, Brigitha Vlaicu, Daniela Iacob, et al. "Transvaginal Cystocele Repair Using Tension-free Polypropylene Mesh (Tension-free Vaginal Tape)." Materiale Plastice 55, no. 2 (June 30, 2018): 226–29. http://dx.doi.org/10.37358/mp.18.2.5000.

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Urinary incontinence is one of the most common diseases, 25% of women between 18 and 80 years suffer from it. Urinary incontinence can be described as accidently loss of small amounts of urine. The solution involves a surgical procedure, such as sling procedures and bladder neck suspension procedures. The methods of surgical interventions have evolved due to a minimum period of hospitalization (sling, TVT), or performing laparoscopic surgery instead of the classical Burch surgery. Studies reviled that the most effective interventions are those which restore the urethra by retro pubic urethropexy, pubovaginal sling and synthetic mid-urethral slings. This type of surgery has currently the highest success rate (85-90% on 5 years after surgery), and the lowest relapse rate. In our study we obtained the same success rate for the TVT procedure.

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Luo, Xiao, Li Xiao Wan, Hong Shen, Yin Xiu Xia, Chao Han Zhang, Yi De Luo, Yi Dai, and Jia Wang. "Pregnancy after tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator procedure." Urogynaecologia 25, no. 1 (December 28, 2011): 17. http://dx.doi.org/10.4081/uij.2011.e17.

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Objective. Treatment of anterior vaginal wall prolapse and stress urinary incontinence (SUI) with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) has been proved feasible, safe and effective. However, there is little known about the influence of pregnancy on women who have had such procedures before pregnancy. Design and methods. A 32-year-old woman (gravid 1, para 1) with two years history of SUI and nine months history of pelvic organ prolapse (POP) was treated with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant TVT-O. Her recovery was excellent, and she was pregnant eight months after the operation. Results. The patient went through her pregnancy smoothly with no special discomfort and successfully delivered an infant via caesarean section without recurrence of POP and SUI. Her last visit to our clinic about 14 months after caesarean section revealed that the anterior Prolift mesh and TVT-O mesh still remained intact and the position of the vaginal fornix, anterior and posterior walls and uterus also remained normal. Conclusions: Pelvic floor reconstruction with vaginal mesh (Prolift) may have positive significance for young patients who desire uterine preservation for future pregnancies. However, further studies are warranted to determine whether it can be used in pregnant women or women planning future pregnancies.

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Hadzi-Djokic, Jovan, J. Stoiljkovic, Dragoslav Basic, B. Basic, G. Petrovic, V. Colovic, and V. Stamenkovic. "Clinical and urodynamic outcomes of tension: Free vaginal tape procedure." Acta chirurgica Iugoslavica 51, no. 3 (2004): 57–60. http://dx.doi.org/10.2298/aci0403057h.

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The tension - free vaginal tape procedure (TVT) has been regarded as a safe, minimally invasive method for the treatment of female stress urinary incontinence. In a prospective multicenter study we evaluated safety and efficacy of TVT procedure for the treatment of female stress incontinence. From 1998. to 2003, a total of 42 patients, mean age 60 years (range 34-76) with urodynamically verified stress urinary incontinence underwent the TVT procedure. The mean follow-up period was 28 months (range 14 to 32). Intra- and postoperative complications were few, including bladder perforations (4.7%), vaginal hematoma (2.4%), complete urinary retention (2.4%), transient urinary retention (19%) and urinary tract infection (7.1%). Postoperatively, voiding time and functional urethral length significant increased. The subjective and objective cure rates were 85.7% and 90.5%, respectively. We conclude that the TVT procedure is associated with high cure rate and low morbidity.

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Zyczkowski, Marcin, Krzysztof Nowakowski, Waclaw Kuczmik, Tomasz Urbanek, Zbiegniew Kaletka, Piotr Bryniarski, Bartosz Muskala, and Andrzej Paradysz. "Tension-Free Vaginal Tape, Transobturator Tape, and Own Modification of Transobturator Tape in the Treatment of Female Stress Urinary Incontinence: Comparative Analysis." BioMed Research International 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/347856.

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Introduction. This study is a comparative evaluation of the TVT, TOT, and our own modification of TOT (mTOT) in the treatment of female stress urinary incontinence from a single center experience.Material and Methods. The study was conducted on 527 patients with SUI diagnosed on the basis of urodynamic studies. They were divided into three groups—TVT:n=142, (TOT):n=129, and mTOT:n=256. All of the patients underwent evaluation at 1, 3, and 6 months after surgery. Results were statistically analysed and compared.Results. Objective and subjective effectiveness after the surgery were not significantly different in the study groups and ranged from 90.1% to 96.4%. Mean surgery time was 32.3, 28.2, and 26.4 in the TVT, TOT, and mTOT, respectively. Mean hospitalization time was 2.51 days. Mean catheter maintenance time was significantly higher in the TVT than in other groups. In the TVT group total incidence of complications was 13.4%, and it was significantly higher than that in TOT and mTOT (9.3% and 8.6%, resp.).Conclusions. TVT, TOT, and mTOT are highly effective and safe methods in the treatment of SUI. There are no differences in the efficacy between the methods with a little higher percentage of complications in the TVT group.

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Duckett, JRA, A. Tamilselvi, PA Moran, and D. Richmond. "Tension-free vaginal tape (TVT) in the United Kingdom." Journal of Obstetrics and Gynaecology 24, no. 7 (January 2004): 794–97. http://dx.doi.org/10.1080/01443610400009535.

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Johnson, Dallas W., May ElHajj, Erin L. O�Brien-Best, Harold J. Miller, and Paul M. Fine. "Necrotizing fasciitis after tension-free vaginal tape (TVT) placement." International Urogynecology Journal and Pelvic Floor Dysfunction 14, no. 4 (October 1, 2003): 291–93. http://dx.doi.org/10.1007/s00192-003-1064-1.

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Fourie, T., and P. L. Cohen. "Delayed bowel erosion by tension-free vaginal tape (TVT)." International Urogynecology Journal and Pelvic Floor Dysfunction 14, no. 5 (November 1, 2003): 362–64. http://dx.doi.org/10.1007/s00192-003-1068-x.

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LEANZA, V., M. BOLOGNA, and N. GASBARRO. "TENSION-FREE TECHNIQUES IN UROGYNAECOLOGICAL SURGERY." Urogynaecologia 19, no. 2-3 (July 1, 2010): 5. http://dx.doi.org/10.4081/uij.2005.5.

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The new tension-free techniques for treatment of either stress urinary incontinence or pelvic organ prolapse are shown. They are divided as follows. Techniques for the anterior compartment: TVT (Tension-free Vaginal Tape), Retropubic TUS (Tension-free Urethral Suspension), TOT (Transobturator Tape), Prepubic TUS (Tension-free Urethral Suspension), TCR (Tension-Free Cystocele Repair), Retropubic TICT (Tension-free Incontinence Cystocele Treatment), Prepubic TICT (Tension-free Incontinence Cystocele Treatment); Techniques for the apical compartment: Indirect abdominal colposacropexy; Techniques for the postero- apical compartment: Posterior IVS; Techniques for the posterior compartment: Colpoperineoplasty with mesh. Both a correct diagnosis and an appropriate procedure are the right key to achieve a greater therapeutic success.

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Madhu, Chendrimada, Penelope Harber, and David Holmes. "Unexpected benefits and potential therapeutic opportunities of tension free vaginal tape for stress urinary incontinence." Urogynaecologia 27, no. 1 (September 23, 2013): 6. http://dx.doi.org/10.4081/uij.2013.e6.

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Urinary incontinence is a debilitating problem in women with significant effects on quality of life. The tension free vaginal tape (TVT) improves urinary symptoms and achieves a high rate of patient satisfaction. The aim of the study was to evaluate the effect of TVT on vaginal symptoms, pelvic floor function and in turn quality of life. We hypothesize that the TVT is associated with an improvement in pelvic floor function. A prospective questionnaire- based analysis was conducted over a period of ten months in patients undergoing the TVT procedure. The International Consul - tation on Incontinence Modular Questionnaire - Vaginal Symptoms questionnaire was used to evaluate the vaginal symptoms pre-operatively and 6 months post-operatively. The results were compared to assess for any significant differences. A total of 31 patients were recruited for the study. There was a statistically significant improvement in vaginal symptoms score at 6 months in women undergoing TVT along with an improvement in urinary symptoms. This study suggests a positive impact of TVT insertion on vaginal symptomatology, which is an exciting prospect influencing patient counseling for treatment options of urinary stress incontinence. This finding may have an impact on performing concomitant surgeries for stress incontinence and pelvic organ prolapse. There is a need for further large–scale research to explore this aspect of unexpected benefit from the TVT.

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Schöller, Dorit, Sara Brucker, and Christl Reisenauer. "Management of Urethral Lesions and Urethrovaginal Fistula Formation Following Placement of a Tension-Free Suburethral Sling: Evaluation From a University Continence and Pelvic Floor Centre." Geburtshilfe und Frauenheilkunde 78, no. 10 (October 2018): 991–98. http://dx.doi.org/10.1055/a-0704-3461.

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Abstract Introduction The complication of tape erosion in the urethra following placement of a retropubic (TVT) or transobturator (TOT) tension-free suburethral vaginal sling or an accidental iatrogenic transurethral tape position can result in the formation of a urethrovaginal or vesicovaginal fistula. The objective of the investigation is the evaluation of the management of such rare complications. Patients and Methods Retrospective analysis of 14 patients who were treated for a urethral lesion or urethrovaginal fistula formation status post TVT/TOT placement between June 2011 and February 2018 in the Tübingen University Department of Gynaecology. Results As surgical therapy, 57.1% (n = 8) cases underwent vaginal fistula closure using a Martius flap of the labium majus and in 21.4% (n = 3) using a vaginal rotation skin flap. In 21.4% (n = 3), exclusively vaginal suture reconstruction of the urethra following excision of the tape running transurethrally or tape erosion was performed. 50% (n = 7) of the patients had lasting continence postoperatively without any further need for therapy. In 28.6% (n = 4), there was ongoing stress urinary incontinence, in 21.4% (n = 3) mixed urinary incontinence. Six of the 7 patients with persistent incontinence underwent new placement of a tension-free suburethral retropubic sling (TVT) an average of 8.8 months (5 – 13 months) postoperatively which was uncomplicated in all patients and achieved satisfactory continence. The 3 patients with mixed urinary incontinence and persistent urgency components additionally received anticholinergic medication. During the time period investigated, there were no long-term complications, in particular no recurrent fistulas. Conclusion The rare but relevant complications of a urethral erosion, transurethral tape position or urethrovaginal fistula formation status post TVT/TOT placement can be successfully managed via vaginal surgery. Persistent postoperative urinary incontinence with the need for a two-phase repeat TVT placement following sufficient wound healing must be preoperatively clarified.

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Rajendra, Malathi, How Chuan Han, Lih Charn Lee, Leng Aun Arthur Tseng, and Heng Fok Wong. "Retrospective study on tension-free vaginal tape obturator (TVT-O)." International Urogynecology Journal 23, no. 3 (September 3, 2011): 327–34. http://dx.doi.org/10.1007/s00192-011-1552-7.

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Jha, Swati, Georgina Jones, Stephen Radley, and Andrew Farkas. "Factors influencing outcome following the tension-free vaginal tape (TVT)." European Journal of Obstetrics & Gynecology and Reproductive Biology 144, no. 1 (May 2009): 85–87. http://dx.doi.org/10.1016/j.ejogrb.2009.01.013.

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Riedler, Ildiko, G�nter Primus, Harald Trummer, Alfred Maier, Michael Rauchenwald, and Gerhart Hubmer. "Fournier?s gangrene after tension-free vaginal tape (TVT) procedure." International Urogynecology Journal and Pelvic Floor Dysfunction 15, no. 2 (April 1, 2004): 145–46. http://dx.doi.org/10.1007/s00192-003-1101-0.

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Geis, K., and J. Dietl. "Ilioinguinal Nerve Entrapment after Tension-free Vaginal Tape (TVT) Procedure." International Urogynecology Journal 13, no. 2 (April 2002): 136–38. http://dx.doi.org/10.1007/s001920200029.

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Meschia, M., M. Busacca, P. Pifarotti, and S. De Marinis. "Bowel Perforation During Insertion of Tension-free Vaginal Tape (TVT)." International Urogynecology Journal 13, no. 4 (August 2002): 263–65. http://dx.doi.org/10.1007/s001920200055.

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DE MATTEIS, G., S. COLAGRANDE, Q. MAGLIONI, P. PAESANO, and E. CIRESE. "TVT (Tension-Free Vaginal Tape): a new procedure for the treatment of SUI. Our experience." Urogynaecologia 14, no. 2 (July 1, 2010): 71. http://dx.doi.org/10.4081/uij.2000.71.

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In this study we determined the efficacy and safety of tension free vaginal tape (TVT), a new procedure for the treatment of female stress urinary incontinence. TVT consists in the implantation of a prolene tape around the mid-urethra via a small vaginal incision. The TVT procedure is a minimally invasive technique using local or spinal anaesthesia allowing most women to be discharged from hospital the same day or the day after the operation. In the surgery of SUI with urethral hypermobility, TVT is without doubt one of the most interesting procedure to have changed surgery practice, and is a promising alternative to the traditional techniques. On the basis of our results we consider the TVT operation to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence, having obtained a success rate of 76,5%.

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Kang, Jian, Xin Gou, Qing-hua Zhao, Wei-yang He, Ming-zhao Xiao, Ming Wang, and Yuan-zhong Deng. "Cough Test during Tension-Free Vaginal Tape Procedure in Preventing Postoperative Urinary Retention." Advances in Urology 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/797854.

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Objective. To discuss the practical value of the cough test during the tension-free vaginal tape (TVT) procedure.Methods. In the first group, 41 patients of female stress incontinence received TVT operations which were performed according to the Ulmsten’s method strictly, only that the stress of tape was adjusted in light of the cough test. In the second group, 44 patients of female stress incontinence received TVT operations in which the tape was put under the urethral tract without stress, not adjusted by cough test.Results. The cure rate was 38/41 (92.6%) in the cough test group and 41/44 (93.1%) in the noncough test group; detrusor pressure-uroflow study indicated that there were 11 cases in the obstruction zone in the cough test group while only 3 cases were in the obstruction zone in the noncough test group; 4 cases of urinary retention and 5 cases of voiding dysfunction were found in the cough test group, while difficulties of urination were not found in the non-cough test group.Conclusion. Adjusting the tape stress in accordance with the cough test during the TVT can increase the opportunity of urinary retention or difficulty of urination after operation. So there is no benefit of the cough test during tension-free vaginal tape procedure in preventing post-operative urinary retention.

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Sahin, Ali Feyzullah, Yusuf Özlem Ilbey, and Nur Sahin. "Vaginocutaneous fistula and inguinal abcess presented 6 years after tension-free vaginal tape sling." Archivio Italiano di Urologia e Andrologia 85, no. 2 (June 24, 2013): 104. http://dx.doi.org/10.4081/aiua.2013.2.104.

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Surgical treatment of female stress urinary incontinence (SUI) has become very pop- ular after respectable success with minimal invasive surgeries. This is the first report of long term vaginocutaneous fistula (VCF) plus inguinal abcess after tension-free vaginal tape (TVT). A 67 year-old woman with vaginal discharge lasting more than 3 years complained with a painful swelling in the left inguinal area for the last three months. She had a medical history of TVT sling procedure for SUI six years ago. She had no history of pelvic surgery, cancer treatment or pelvic irradiation before or after TVT sling. No urethrovaginal or vesicovaginal fistula was found in physical examination and cystocopy. MRI showed a vaginocutenaous fistula and inguinal abcess. This case highlights the need for a high index of suspicion for VCF after TVT.

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Eltoraky, Mohammed M., Mona Elqenae, and Alsaeed E. A. Askar. "Comparison between Tension Free Vaginal Tape ( TVT ) and Tension Free Vaginal Tapeobturator ( TVT - O ) for Management of Female Stress Urinary Incontinence." Al-Azhar Medical Journal 42, no. 1 (January 2015): 151–61. http://dx.doi.org/10.12816/0015752.

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Mustafa, Mahmoud. "[86] Double-tension adjustments with novel modification on tension-free vaginal tape (TVT)." Arab Journal of Urology 16, sup1 (December 2018): S40. http://dx.doi.org/10.1016/j.aju.2018.10.040.

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Abou-Elela, Ashraf, Essam Salah, Haitham Torky, and Sameh Azazy. "Outcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator." Advances in Urology 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/341268.

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Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI).Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolapse and voiding dysfunction were treated with the transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O). Sixteen patients had stress urinary incontinence and 4 patients were considered at risk for development of de novo stress incontinence after the prolapse is repaired. All patients underwent a complete urodynamic assessment. All the patients underwent pelvic examination 4–6 weeks after the operation, and anatomical and functional outcomes were recorded.Results. Twenty cystocoeles were repaired: 6 grade II, 12 grade III, and 2 grade IV. There were no vessel or bladder injuries. Eighteen patients had optimal anatomic results and 2 patients had persistent asymptomatic stage I prolapse.Conclusion. These preliminary results suggest that Prolift system offers a safe and effective treatment for female anterior vaginal wall prolapse. However, a long-term followup is necessary in order to support the good result maintenance.

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Djurdjevic, Srdjan. "Tension-free vaginal tape obturator system in the treatment of stress urinary incontinence." Medical review 59, no. 9-10 (2006): 463–67. http://dx.doi.org/10.2298/mpns0610463d.

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Surgical approach to the treatment of female stress urinary incontinence has changed significantly since 1995, when Ulmsten first described the procedure providing tension-free support in the middle part of urethra. Although retropubic placement of TVT tapes seemed to meet all the standards of minimally invasive surgical procedures, the occurrence of complications (bleeding, hematomas, and bladder, urethral of intestinal injuries) necessitated a new obturator approach. This study presents a transobturator approach to TVT tapes placement (Gynecare, Johnson-Johnson Company) with "inside-out" technique, first shown by De Leval in 2003. During 2005, 6 TVT tapes for stress urinary incontinence treatment were placed at the Clinic of Gynecology and Obstetrics in Novi Sad without any intra or post-operative complications. .

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Farid, I., I. Aboud, M. A. Al Blushi, and Z. S. Al Mansoori. "Tension Free Vaginal Tape (TVT) Procedure for Female Stress Incontinence:Qatar Experience." Qatar Medical Journal 2005, no. 2 (November 2005): 15. http://dx.doi.org/10.5339/qmj.2005.2.15.

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El-Azab, Ahmed S., Raymond R. Rackley, Joseph B. Abdelmalak, Marie B. Tchetgen, and Sandip P. Vasavada. "Cystoscopic Resection of Tension Free Vaginal Tape (TVT) in the Bladder." Journal of Pelvic Medicine and Surgery 10, no. 2 (March 2004): 85–87. http://dx.doi.org/10.1097/01.spv.0000128877.94551.fa.

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Shrotri, Keyuri N., John P. Shervington, and Nitin C. Shrotri. "Laser excision of encrusted intra-vesical tension-free vaginal tape (TVT)." International Urogynecology Journal 21, no. 3 (July 15, 2009): 375–77. http://dx.doi.org/10.1007/s00192-009-0960-4.

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Sankey, Paul, Simon Fox, Alison Garrett, and Fiona Neale. "Cases: Obturator nerve damage during tension-free vaginal tape (TVT) operation." Clinical Risk 16, no. 2 (March 2010): 72–73. http://dx.doi.org/10.1258/cr.2010.10a004.

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Vierhout, M. E. "Severe Hemorrhage Complicating Tension-Free Vaginal Tape (TVT): A Case Report." International Urogynecology Journal 12, no. 2 (April 2001): 139–40. http://dx.doi.org/10.1007/s001920170080.

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Kocjancic, Ervin, Elisabetta Costantini, Antonella Giannantoni, Simone Crivellaro, Francesco Mearini, Bruno Frea, and Massimo Porena. "1462: Tension-Free Vaginal Tape (TVT) and Trans-Obturator Suburethral Tape (TOT): A Prospective Randomized Trial." Journal of Urology 177, no. 4S (April 2007): 483. http://dx.doi.org/10.1016/s0022-5347(18)31663-x.

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Zubke, W., I. V. Gruber, K. Gardanis, and D. Wallwiener. "Tension-free vaginal tape (TVT): our modified technique?effective solutions for postoperative TVT correction." Gynecological Surgery 1, no. 2 (June 1, 2004): 111–18. http://dx.doi.org/10.1007/s10397-004-0028-x.

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Rodrigues, Claudinei, Ana Bianchi-Ferraro, Eliana Zucchi, Marair Sartori, Manoel Girão, and Zsuzsanna Jarmy-Di Bella. "Pelvic Floor 3D Ultrasound of Women with a TVT, TVT-O, or TVT-S for Stress Urinary Incontinence at the Three-year Follow-up." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 39, no. 09 (August 28, 2017): 471–79. http://dx.doi.org/10.1055/s-0037-1606125.

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Objective Using three-dimensional ultrasound (3D-US), we aimed to compare the tape position and the angle formed by the sling arms in different techniques of mid-urethral sling insertion for the surgical treatment of stress urinary incontinence, three years after surgery. In addition, we examined the correlations between the US findings and the clinical late postoperative results. Methods A prospective cross-sectional cohort study of 170 patients who underwent a sling procedure between May 2009 and December 2011 was performed. The final sample, with US images of sufficient quality, included 26 retropubic slings (tension-free vaginal tape, TVT), 42 transobturator slings (tension-free vaginal tape-obturator, TVT-O), and 37 single-incision slings (tension-free vaginal tape-Secur, TVT-S). The images (at rest, during the Valsalva maneuver, and during pelvic floor contraction) were analyzed offline by 2 different observers blinded against the surgical and urinary continence status. Group comparisons were performed using the Student t-test, the chi-squared and the Kruskal-Wallis tests, and analyses of variance with Tukey multiple comparisons. Results Differences among the groups were found in the mean angle of the tape arms (TVT = 119.94°, TVT-O = 141.93°, TVT-S = 121.06°; p < 0.001) and in the distance between the bladder neck and the tape at rest (TVT = 1.65 cm, TVT-O = 1.93 cm, TVT-S = 1.95 cm; p = 0.010). The global objective cure rate was of 87.8% (TVT = 88.5%, TVT-O = 90.5%, TVT-S = 83.8%; p = 0.701). The overall subjective cure rate was of 83.8% (TVT = 88.5%, TVT-O = 88.5% and TVT-S = 78.4%; p = 0.514). The slings were located in the mid-urethra in 85.7% of the patients (TVT = 100%, TVT-O = 73.8%, TVT-S = 89.2%; p = 0.001), with a more distal location associated with obesity (distal: 66.7% obese; mid-urethra: 34% obese; p = 0.003). Urgency-related symptoms were observed in 23.8% of the patients (TVT = 30.8%, TVT-O = 21.4%, TVT-S = 21.6%; p = 0.630). Conclusions The angle formed by the arms of the sling tape was more obtuse for the transobturator slings compared with the angles for the retropubic or single-incision slings. Retropubic slings were more frequently located in the mid-urethra compared with the other slings, regardless of obesity. However, the analyzed sonographic measures did not correlate with the urinary symptoms three years after the surgery.

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SEBASTIO, N., M. SIMONAZZI, E. FERRI, S. MELI, P. SALSI, and P. CORTELLINI. "Profile of the urethral transmission pressure in patients undergoing tension-free vaginal tape (T.V.T.)." Urogynaecologia 14, no. 1 (July 1, 2010): 25. http://dx.doi.org/10.4081/uij.2000.25.

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The aim of the paper is to compare the pre-operative and postoperative urodynamic parameters of women with stress incontinence undergoing a TVT (Tension-free Vaginal Tape) operation in order to evaluate the functional dynamics of the operation. Twenty-two patients (mean age 56.3 years, range 30-69 years) underwent the TVT operation for the correction of stress urinary incontinence. Cervical urethral hypermobility was present in all the patients and only the TVT operation and no other surgical procedure was performed. The main urodynamic modification was the improved transmission pressure to the urethra (CTU%) at the post-operative check up, although the maximum urethral closure pressure (MUCP), the functional length (FL) and the maximum flow (Qmax) remained unchanged.

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Kilonzo, Mary, Luke Vale, Sally C. Stearns, Adrian Grant, June Cody, Cathryn M. A. Glazener, Sheila Wallace, and Kirsty McCormack. "Cost effectiveness of tension-free vaginal tape for the surgical management of female stress incontinence." International Journal of Technology Assessment in Health Care 20, no. 4 (November 2004): 455–63. http://dx.doi.org/10.1017/s0266462304001357.

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Objectives: Stress urinary incontinence affects between 10 percent and 50 percent of women. Surgery is commonly recommended for troublesome incontinence that does not respond to nonsurgical management. Tension-free vaginal tape (TVT) is a newer, minimal access surgical sling procedure, which is being increasingly adopted worldwide. The cost-effectiveness of TVT in comparison with other surgical procedures, particularly open colposuspension, is assessed.Methods: Effectiveness estimates came from a systematic review of TVT compared with other surgical procedures (open and laparoscopic colposuspension, traditional slings, and injectables). Deterministic and probabilistic analyses were used to assess the likelihood of TVT being cost-effective. Sensitivity analyses assessed the impact of changing assumptions about cure rates and costs for TVT, cure rates for retreatment open colposuspension, and proportions of women who choose retreatment.Results: Reliable estimates of relative effectiveness were difficult to derive because the few randomized controlled comparisons had not been optimally analyzed or fully reported. Results of the economic model suggested that TVT dominates open colposuspension (lower cost and same quality of life years[QALYs]) within 5 years after surgery. Stochastic analysis indicated that the likelihood of TVT being cost-effective was 100 percent if decision-makers are unwilling to pay for additional QALYs. TVT's dominance depended on the assumption fact that retreatment open colposuspension has lower cure rates than a first colposuspension.Conclusions: Analysis based on current short-term data indicates dominance of TVT over open colposuspension from approximately 5 years. There is a need for longer-term follow-up data from methodologically rigorous randomized trials to provide a sounder basis for estimating the relative benefits and cost implications.

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Loch, A., M. Stöckle, and T. Loch. "TRANSVAGINAL ENDOSONOGRAPHY IN THE EVALUATION OF TENSION-FREE VAGINAL TAPE (TVT) IMPLANTATION." European Urology Supplements 5, no. 2 (April 2006): 268. http://dx.doi.org/10.1016/s1569-9056(06)60987-1.

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Tamussino, K., E. Hanzal, D. K??lle, O. Preyer, G. Ralph, P. Riss, and A. Tammaa. "PAPER 18: Bleeding Complications With the Tension-Free Vaginal Tape (TVT) Operation." Journal of Pelvic Medicine and Surgery 11, no. 2 (March 2005): 64. http://dx.doi.org/10.1097/01.spv.0000155656.36948.ad.

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Gottfried, H. W. "Indikation und Ergebnisse mit TVT (tension-free vaginal tape) bei weiblicher Stressinkontinenz." Der Urologe B 41, no. 2 (April 2001): 105–8. http://dx.doi.org/10.1007/s001310050489.

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Liapis, Angelos, Panagiotis Bakas, Emanouel Salamalekis, Dimitrios Botsis, and Georgios Creatsas. "Tension-free vaginal tape (TVT) in women with low urethral closure pressure." European Journal of Obstetrics & Gynecology and Reproductive Biology 116, no. 1 (September 2004): 67–70. http://dx.doi.org/10.1016/j.ejogrb.2004.02.009.

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Ducarme, G., D. Rey, Y. Ménard, and F. Staerman. "Échographie endovaginale et troubles mictionnels après TVT® (Tension-free Vaginal Tape)." Gynécologie Obstétrique & Fertilité 32, no. 1 (January 2004): 18–22. http://dx.doi.org/10.1016/j.gyobfe.2003.09.017.

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Kato, Kumiko, Tomohiko Hirata, Koichi Suzuki, Kazuhiko Yoshida, and Tatsuro Murase. "SLING REMOVAL AFTER THE VESICA SLING AND TENSION-FREE VAGINAL TAPE (TVT) PROCEDURES." Japanese Journal of Urology 95, no. 1 (2004): 17–24. http://dx.doi.org/10.5980/jpnjurol1989.95.17.

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Bakenga, J., D. Petrakian, J. Irani, X. Breton, F. Ouaki, C. Pirès, and B. Doré. "357Practical information to the patient before undergoing tension-free vaginal tape (TVT) procedure." European Urology Supplements 4, no. 3 (March 2005): 92. http://dx.doi.org/10.1016/s1569-9056(05)80364-1.

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Fotas, A., S. Charalambous, G. Fatles, A. Papathanasiou, S. Touloupidis, and V. Rombis. "PER- AND POST-OPERATIVE COMPLICATIONS OF TVT (TENSION FREE VAGINAL TAPE): OUR EXPERIENCE." European Urology Supplements 5, no. 2 (April 2006): 306. http://dx.doi.org/10.1016/s1569-9056(06)61136-6.

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CHANG, Yu-Lung, Alex T. L. LIN, and Kuang-Kuo CHEN. "Experience with Tension-free Vaginal Tape (TVT)-SECUR for Female Stress Urinary Incontinence." LUTS: Lower Urinary Tract Symptoms 1, no. 2 (December 2009): 74–77. http://dx.doi.org/10.1111/j.1757-5672.2009.00048.x.

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Schiotz, H. A. "Tension-free vaginal tape (TVT) - a new surgical procedure for female stress incontinence." Journal of Obstetrics and Gynaecology 20, no. 2 (January 2000): 158–61. http://dx.doi.org/10.1080/01443610062940.

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Agostini, Aubert, Florence Bretelle, Fabrice Franchi, Valérie Roger, Ludovic Cravello, and Bernard Blanc. "Immediate complications of tension-free vaginal tape (TVT): results of a French survey." European Journal of Obstetrics & Gynecology and Reproductive Biology 124, no. 2 (February 2006): 237–39. http://dx.doi.org/10.1016/j.ejogrb.2005.06.035.

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Journal articles on the topic 'Tension free vaginal tape (TVT)'

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