Results of the tension-free vaginal tape technique in the elderly. - Université Pierre et Marie Curie Accéder directement au contenu
Article Dans Une Revue European Urology Année : 2003

Results of the tension-free vaginal tape technique in the elderly.

Ségolène Sevestre
  • Fonction : Auteur
Calin Ciofu
  • Fonction : Auteur
Bruno Deval
  • Fonction : Auteur
Olivier Traxer
  • Fonction : Auteur
François Haab
  • Fonction : Auteur

Résumé

OBJECTIVES: To assess the results of the Tension-Free Vaginal Tape (TVT) technique for the treatment of stress urinary incontinence (SUI) in the elderly. PATIENTS AND METHODS: Between March 1998 and February 2001, 76 consecutive women more than 70 years old (median 76) and presenting with SUI were operated with the TVT technique. 28.9% (22/76) of the patients had previous surgery for SUI. 31% (24/76) of the patients had an overactive bladder and 4 patients had detrusor instability controlled by anticholinergic therapy. All patients had preoperative multichanel urodynamic evaluation. RESULTS: No serious complication was noted intra- or postoperatively. At a mean follow up of 24.6 months (range 16-49 months), 67% of the patients were cured (51/76). Among the failures, 10 patients (13.7%) had persistent SUI, 14 patients (18.4%) had urge incontinence and 2 patients were lost to follow up. De novo urgency without incontinence was noticed in 21% of the patients but preoperative urgency symptoms were cured in 46% of the patients. Overall 82% of the patients were satisfied with the result of the surgery, 14% considered the result as incomplete and 4% considered they were worsened by surgery. CONCLUSION: The TVT procedure is safe and efficient to treat SUI in the elderly population even if the rate of de novo urgency appeared to be significant.
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Dates et versions

hal-00271964 , version 1 (10-04-2008)

Identifiants

  • HAL Id : hal-00271964 , version 1
  • PUBMED : 12814688

Citer

Ségolène Sevestre, Calin Ciofu, Bruno Deval, Olivier Traxer, Gérard Amarenco, et al.. Results of the tension-free vaginal tape technique in the elderly.. European Urology, 2003, 44 (1), pp.128-31. ⟨hal-00271964⟩
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