The Changes of Storage Symptoms after Tension-free Vaginal Tape Procedures in Stress Urinary Incontinence Patients

Gwang Bae Lee; Hyo Sin Kim; Jun Sung Koh; Hyun Woo Kim; Yong Seok Lee; Hong Jin Suh; Dong Hwan Lee; Ji Youl Lee

doi:10.4111/kju.2007.48.12.1289

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Lee, Kim, Koh, Kim, Lee, Suh, Lee, and Lee: The Changes of Storage Symptoms after Tension-free Vaginal Tape Procedures in Stress Urinary Incontinence Patients

Original Article

Korean Journal of Urology

Korean Journal of Urology 2007; 48(12): 1289-1295.

Published online: 31 December 2007

DOI: https://doi.org/10.4111/kju.2007.48.12.1289

The Changes of Storage Symptoms after Tension-free Vaginal Tape Procedures in Stress Urinary Incontinence Patients

Gwang Bae Lee, Hyo Sin Kim, Jun Sung Koh, Hyun Woo Kim, Yong Seok Lee, Hong Jin Suh, Dong Hwan Lee, Ji Youl Lee

Department of Urology, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

Corresponding author (uroljy@catholic.ac.kr)

Received 15 June 2007 Accepted 12 October 2007

Abstract

Purpose

We evaluated the changes of storage symptoms after tension-free vaginal tape (TVT) procedures in stress urinary incontinence (SUI) patients, and we investigated the factors predicting the changes of storage symptoms.

Materials and Methods

From January 2000 to August 2003, 713 patients with SUI were operated on with using suburethral sling procedures (TVT). A follow-up study was conducted for over a one year period with 495 patients. We analyzed the one year outcomes of TVT surgeries and the changes of storage symptoms after TVT.

Results

The rates of cure and improvements at one year after TVT were 80.8% and 12.3%, respectively. At one month after TVT, 59 of 180 (33%) patients with urgency before TVT were improved, and 60 of 72 (83.6%) patients with urgency incontinence before TVT were improved. In 86 of 180 (47.8%) patients, the urgency is improved, and in 65 of 72 (90.1%) patients, the urgency incontinence disappeared at one year after TVT procedure. Urgency developed in 65 of the 243 (26.9%) patients who had no urgency before TVT, but after 1 year, only 28 (10.2%, 25/243) these 243 patients had urgency. 102 (31.6%) of the patients with frequency before TVT were improved after TVT. Of the 92 patients with nocturia, 22 (23.4%) patients were improved. There were no statically significant factors predicting the changes of the storage symptoms.

Conclusions

The total improvement rate (cure+improvements) of stress urinary incontinence was 93.1% at one year. We can expect the improvement of urgency (47.1%) and urgency incontinence (90.1%) after TVT procedures, but not improvement of the frequency and nocturia.

Keywords: Tension-free vaginal tape, Urge incontinence, Overactive bladder

Figures and Tables

Table 1

Success rate of TVT procedures

TVT: tension-free vaginal tape

Table 2

The changes of urgency and urgency incontinence after TVT procedures

TVT: tension-free vaginal tape

Table 3

The changes of frequency and nocturia after TVT procedures

TVT: tension-free vaginal tape

Table 4

The change of the mean value of the voiding volume (ml) as calculated from the voiding diary

Table 5

Characteristics of de novo urgency patients

Free Qmax: maximal uroflow rate in uroflowmetry, RV: residual urine volume, MBC: maximal bladder capacity, UIC: uninhibited contraction, VLPP: Valsalva leak point pressure, 1 month: postop. 1 month, 1 year: postop. 1 year

Table 6

Comparison of urgency & urgency incontinence patients at 1 year after TVT procedures

TVT: tension-free vaginal tape, Free Qmax: maximal uroflow rate in uroflowmetry, RV: residual urine volume, MBC: maximal bladder capacity, UIC: uninhibited contraction, VLPP: Valsalva leak point pressure, 1 month: postop. 1 month, 1 year: postop. 1 year

Table 7

Characteristics of the improved urgency incontinence patients at 1 year after TVT procedures

Table 8

Comparison of the frequency patients at 1 year after TVT procedures

Table 9

Comparison of nocturia patients at 1 year after TVT procedure

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