caa a22 4500 475811593 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s001920070017 doi (NATIONALLICENCE)springer-10.1007/s001920070017 Wang A. C. Chang Gung University, School of Medicine, Tao-Yuan, Taiwan, TW aut An Assessment of the Early Surgical Outcome and Urodynamic Effects of the Tension-free Vaginal Tape (TVT) [Elektronische Daten] [A. C. Wang] Abstract:: Fifty-two women underwent a tension-free vaginal tape (TVT) procedure for genuine stress incontinence (GSI). Preoperative assessment included a detailed medical history, pelvic examination, a 1-hour pad test with a comfortably full bladder, and urinary culture. Thirteen of the 52 women were excluded for various reasons. Both before and 12-24 months postoperatively all patients had a full urodynamic investigation using microtip transducer catheters. The study subjects were instructed to maintain a 1-week baseline urinary diary 1 week before the operation, and postoperative urodynamic assessment as well. The period of follow-up ranged from 12 to 24 months (median 19 months). Another 1-hour pad test with a comfortably full bladder and urinary culture were carried out thereafter. Comparisons of the 39 women pre- and postoperatively found a significantly improved 1-hour pad test (34.9 ± 34.7 vs 8.3 ± 24.0, P<0.001). Analyzing the urodynamic effects of surgery revealed no significant postoperative changes except for the maximal urethral closure pressure (MUCP) at rest. An objective assessment using a pad test revealed the success rate (cure plus improved) to be 90% (35/39) and the failure rate 10% (4/39). TVT can thus be considered a safe and effective procedure for GSI in women. Moreover, the urodynamic effects of surgery were not found to be critical to success. Springer-Verlag London Limited, 2000 Key words: Genuine stress incontinence - Tension-free vaginal tape nationallicence https://doi.org/10.1007/s001920070017 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920070017 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Wang A. C. Chang Gung University, School of Medicine, Tao-Yuan, Taiwan, TW aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer