objective: this study compared the tension-free vaginal tape (tvt) and transobturator tape (tot) procedures for surgical treatment of stress urinary incontinence in women. materials and methods: this prospective non randomized clinical trial was conducted in vali-e-asr hospital from march 2001 to march 2005. a total of 71 patients with clinical and urodynamic diagnosis of stress urinary inconti...

OBJECTIVE To assess the outcome of patients who underwent a tension-free vaginal tape sling procedure alone versus patients who underwent concomitant pelvic floor surgery. DESIGN Retrospective cohort study. SETTING Urogynaecology unit of a university teaching hospital, Hong Kong. PATIENTS Patients diagnosed with moderate-to-severe urodynamic stress incontinence and underwent a tension-fre...

The fascial pubovaginal sling for stress urinary incontinence is effective and durable. Various techniques and materials have been developed, including polypropylene tension-free vaginal tape. Contrary to other synthetic slings, tension-free vaginal tape reportedly has a low complication rate.1,2 We report on a case of long-term urinary retention after tension-free vaginal tape surgery, which r...

Intra-urethral vaginal tape is a rare complication of tension-free vaginal tape (TVT) procedure. A 41year-old woman with intra-urethral vaginal tape after TVT procedure is presented. The presenting symptoms were urge incontinence and dysparonia. The patient has received anticholinergic drugs and vaginal estrogen, but the symptoms had not been resolved with both this regimen. The diagnosis was m...

OBJECTIVE To compare tension-free vaginal tape with colposuspension as primary treatment for stress incontinence. DESIGN Multicentred randomised comparative trial. SETTING Gynaecology or urology departments in 14 centres in the United Kingdom and Eire, including university teaching hospitals and district general hospitals. PARTICIPANTS 344 women with urodynamic stress incontinence; 175 ra...

OBJECTIVE To assess the cost effectiveness of tension-free vaginal tape compared with open Burch colposuspension as a primary treatment for urodynamic stress incontinence. DESIGN Cost-utility analysis alongside a multicentre randomised comparative trial. SETTING Gynaecology or Urology departments in 14 centres in the UK and Ireland, including University-associated teaching hospitals and dis...

A 54-yr-old womanwas admitted to our department because of intermittent urinary tract infection, fever and right flank pain for 2 months after having been performed a tension-free vaginal tape (TVT) for stress urinary incontinence in local hospital. 2 weeks before admission, the fever exceeded 39 C and the right flank pain became severe. The patient had had involuntary leakage of urine associat...

BACKGROUND Evaluation of cost-effectiveness of new surgical techniques is important. As the data on incontinence procedures are scarce, we evaluated the cost-effectiveness of tension-free vaginal tape procedure and laparoscopic mesh colposuspension as a primary surgical treatment for female stress urinary incontinence. METHODS In four university teaching hospitals and two central hospitals 12...