RT Book, Section
A1 Ballard, Alicia C.
A1 Holley, Robert L.
A1 Richter, Holly E.
A2 Rogers, Rebecca G.
A2 Sung, Vivian W.
A2 Iglesia, Cheryl B.
A2 Thakar, Ranee
SR Print(0)
ID 1105831985
T1 Stress Urinary Incontinence
T2 Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-175641-9
LK obgyn.mhmedical.com/content.aspx?aid=1105831985
RD 2024/04/20
AB For  many  years,  gynecologic  surgeons  awaited  a  primarily  vaginal  procedure  that  yielded  cure  rates  and  low  complications  comparable  to  the  Burch  colposuspension.  The  entire  paradigm  of  surgery  for  stress  urinary  incontinence  (SUI)  underwent  a  significant  change  with  the  introduction  of  the  retropubic  tension-free  vaginal  tape  (TVT)  polypropylene  mesh  sling.1  This  procedure  is  now  the  most  commonly  performed  surgical  treatment  modality  for  SUI  in  women.  The  retropubic  midurethral  sling  has  also  served  as  a  prototype  for  a  variety  of  modifications  including  transobturator  tape  slings,  single-incision  mini-slings,  and  adjustable  slings.  Objective  cure  rates  vary  depending  on  the  definition  of  cure,  but  approximate  80%  with  follow-up  times  ranging  from  1  to  11.5  years  postoperation.2,3