What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation.

Abstract:

INTRODUCTION AND HYPOTHESIS:Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape. METHODS:A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted. RESULTS:At a median follow-up of 12 months, subjective and objective cure rate were 85% and 77%, respectively. Thirty percent of the women developed de novo detrusor overactivity that responded to antimuscarinic treatment. Long-term voiding difficulty was observed in only one patient, who performed clean intermittent self-catheterization for 3 months. Posterior vaginal wall prolapse requiring pelvic floor repair was found in three women (23%) postoperatively. CONCLUSIONS:Open colposuspension is an effective option for treating persistent or recurrent stress urinary incontinence after failed midurethral tape, with a high success rate.

journal_name

Int Urogynecol J

authors

Giarenis I,Mastoroudes H,Cardozo L,Robinson D

doi

10.1007/s00192-012-1720-4

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

1117-22

issue

8

eissn

0937-3462

issn

1433-3023

journal_volume

23

pub_type

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