Videourodynamic results after tension-free vaginal tape (tvt)‎ for genuine stress urinary incontinence

الملخص EN

Objective : To determine the effect of the tension-free vaginal tape (TVT) procedure on the.

function of the bladder and urethra in patients with genuine stress urinary incontinence.

Setting : A district general hospital in the United Kingdom.

Subjects and Methods : Twenty-four women who underwent a TVT procedure were studied before the procedure and 3 months after the operation using video urodynamics (VUD).

Results : There was no change in the mean voiding detrusor pressure (Pdet), bladder capacity, or maximal flow rate (Qmax) when preoperative VUD was compared to postoperative results.

Residual urine volume was also not significantly increased.

A Idnked' urethra was observed in 2/24 cases, however, this incidence did not reach statistical significance (p > 0.05).

De novo detrusor instability occurred in 3 out of 24 women (12.5%).

None of the procedures was complicated by bladder injury.

No cases of tape erosion were noted.

A success rate of 96% (23/24) was obtained.

Conclusion: TVT is an effective and safe procedure for the treatment of genuine stress incontinence.

Postoperative videourodynamics showed that urethral structure and function do not worsen after this operation.