New Vaginal tape a safe & effective option for urinary incontinence

Dr.Andrea Braga and colleagues conducted a BJU International prospective study to assess the efficacy and safety of retropubic tension-free vaginal tape (TVT) 17 years after implantation for the treatment of female pure stress urinary incontinence (SUI).The researcher found that TVT is a highly effective and safe option for the treatment of stress urinary incontinence, SUI.

The study was conducted in two urogynaecological units in two countries. in which all consecutive women with urodynamically proven pure SUI treated by TVT were included. Patients with mixed incontinence and/or anatomical evidence of pelvic organ prolapse were excluded.A total of 52 women underwent TVT implantation. At 17-year follow-up, 46 women (88.4%) were available for the evaluation. The researchers did not find any significant change in surgical outcomes during this time. At 17 years after surgery, 41 of 46 women (89.1%) declared themselves cured (P = 0.98). Similarly, at 17-year evaluation, 42 of 46 women (91.4%) were objectively cured. No significant deterioration in objective cure rates was observed over time (P for trend 0.50). The univariate analysis did not find any risk factor statistically associated with the recurrence of SUI. Of the 46 women, 15 (32.6%) reported the onset of de novo overactive bladder at 17-year follow-up. No other late complications were reported.

In TVT surgery, a mesh tape is placed under the urethra to keep it in its normal position, so that when a person coughs or moves suddenly, the urethra can remain closed with no accidental release of urine.At 17 years after surgery, 41 of 46 women (89.1%) who underwent TVT implantation declared themselves cured. Similarly, 42 of the 46 women (91.4%) were objectively cured, as determined by clinical tests.