AIM Urethral pressure reflectometry (UPR) is a new method for measuring pressure and cross-sectional area in the urethra. Our aim was to investigate if the UPR parameters at rest and during squeeze were unchanged after TVT. METHODS The technique enables measurement along the entire length of the urethra simultaneously and avoids the common artefacts encountered with conventional catheters. Tw...

Objective: To assess whether there is a difference in treatment outcomes for patients with or without intrinsic sphincter deficiency after tension-free vaginal tape insertion for stress urinary incontinence in a Chinese population. Methods: This retrospective study of Chinese women undergoing tension-free vaginal tape insertion for confirmed urodynamic stress urinary incontinence was carried ou...

OBJECTIVE While transvaginal polypropylene mesh is increasingly used in the management of pelvic organ prolapse, contraction of the mesh after implantation may cause substantial morbidity. This report defines the clinical entity of vaginal mesh contraction. METHODS This is a case series of women who underwent surgical intervention for the management of symptomatic vaginal mesh contraction in ...

OBJECTIVES Complications of polypropylene pubovaginal tension-free tape slings (TVT, SPARC, and others), such as erosion into the bladder or chronic pain attributed to the mesh sling are rare events; however, when they occur, it may necessitate removal of the sling. To date, removal through a laparotomy incision or by operative cystoscopy has been the most common approach. We present 5 cases of...

OBJECTIVE To analyse the urodynamic changes subsequent to the placement of TVT tension-free tape (retropubic tension-free vaginal tape) or TVT-O (obturator tension-free vaginal tape). MATERIALS AND METHODS We carried out a retrospective cohort study that included women with urodynamic diagnosis of stress incontinence, in whom we placed type TVT or TVT-O tension-free tape, and on whom we perfo...

Pelvic organ prolapse (POP) affects millions of women worldwide, and is a health problem for 50% of parous women aged over 50 years (1). Multiple procedures and surgical techniques have been used, with or without the use of vaginal meshes, due to common treatment failure, reoperations, and complication rates in some studies. Randomized trials comparing the use of mesh to native tissue repair in...