Concomitant tension-free vaginal tape for urinary incontinence during laparoscopic hysterectomy

Authors: LIN, Yi-Hao1; LIANG, Ching-Chung; LO, Tsia-Shu1; SOONG, Yung-Kuei1; CHANG, Shuenn-Dhy1; CHANG, Yao-Lung1

Source: Australian and New Zealand Journal of Obstetrics and Gynaecology, Volume 45, Number 4, August 2005 , pp. 304-307(4)

Publisher: Blackwell Publishing

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Abstract:

Objective:

To evaluate the effectiveness and safety of placing tension-free vaginal tape (TVT) during a laparoscopically assisted vaginal hysterectomy (LAVH) in women with stress urinary incontinence and coexistent benign gynaecological disease. Design:

Retrospective clinical study (Canadian Task Force classification II-2). Sample:

Thirty patients diagnosed with genuine stress incontinence and benign gynaecological disease were studied. Methods:

All the patients underwent LAVH and concomitant TVT procedure. Results:

There was no significant difference in urodynamic parameters before and after surgery. All patients were followed postoperatively for a mean duration of 24.6 ± 11.5 months (range 12–40). The cure rate of stress urinary incontinence was 96.7%. Conclusions:

Concomitant placement of tension-free vaginal tape during a laparoscopically assisted vaginal hysterectomy proved to be an efficacious and safe procedure for women with benign gynaecological disease and coexistent stress urinary incontinence.

Keywords: hysterectomy; laparoscopy; stress incontinence; tension-free vaginal tape

Document Type: Research article

DOI: 10.1111/j.1479-828X.2005.00416.x

Affiliations: 1: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

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