Several minimally invasive surgical...

Several minimally invasive surgical actions have been developed in latter years to manage urinary stres incontinence in women These measures have had low cure rates and high complication rates. The tension-free vaginal tape process has had good functional comes with low rates of complications in several marks of incontinence. Nilsson and colleagues evaluated the long-term consequence s of the tension-free vaginal tape manner of proceeding for the treatment of urinary stres incontinence in women

The authors studied 90 women who underwent a tension-free vaginal tape operation for urodynamically diagnosed stress incontinence. Postoperative assessment variables included a stres example a 24-hour pad-weighing test, a two-day voiding diary, and a standardized visual analog scale to assess quality of life and impact of urinary conditions. A gynecologic examination was performed, and changes in medical history and each woman's subjective assessment of her incontinence were recorded.

Sixty-four women were available for clean assessment at the seven-year follow-up visit. An additional 16 women could not attend for clinical evaluation further contributed subjective data to the cogitation For the 80 women who could be questioned, 65 patients (813 percent) considered their incontinence cur and 13 patients (163 percent) reported that their condition was improved through the surgery. Of the 64 women who were clinically evaluated, 54 (844 percent) had a negative pad proof and 61 (95.3 percent) had a negative stres touchstone No reports or evidence of urinary obstruction or tape rejection was establish but five women (6.3 percent) reported recent symptoms of urge incontinence, and six women (75 percent) reported returning urinary tract infections.

The authors end that the tension-free vaginal tape management for the treatment of urinary stres incontinence in women is effective from one side of to the other a period of seven years.

ANNE D WALLING, MD

Nilsson CG et al. Seven-year follow-up of the tension-free vaginal tape practice for treatment of urinary incontinence. Obstet Gynecol December 2004;104:1259-62

COPYRIGHT 2005 American Academy of Family Physicians

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