J Korean Med Sci.  2007 Jun;22(3):497-501. 10.3346/jkms.2007.22.3.497.

Three-year Outcomes of the Innovative Replacement of Incontinence Surgery Procedure for Treatment of Female Stress Urinary Incontinence: Comparison with Tension-free Vaginal Tape Procedure

• Yoon CJ
• Jung HC

• KMID: 1778360
• DOI: http://doi.org/10.3346/jkms.2007.22.3.497

Abstract

Innovative replacement of incontinence surgery (IRIS) is a polypropylene tape that is placed beneath the midurethra to restore urinary continence. We evaluated the long-term efficacy and safety of the IRIS procedure and compared it with tensionfree vaginal tape (TVT) for the treatment of female stress urinary incontinence. We included all 66 consecutive women who underwent IRIS (n=34) or TVT (n=32) between February 2002 and April 2003 and followed them up for at least 3 yr postoperatively. The 3-yr success rate was 94.1% for the IRIS and 93.8% for the TVT, and the satisfaction rates were 91.2% and 90.6%, respectively. Intraoperative complications for the IRIS group included 3 cases of bladder perforation, and there were 3 cases of bladder perforation in the TVT group. The postoperative complications for the IRIS group included 2 patients with de novo urgency and one patient with mesh erosion. Three patients with TVT developed de novo urgency. One case of each group showed temporary voiding difficulty. On the basis of our results, the IRIS may be an effective and safe procedure as compared to TVT, with a high success rate and a low complication rate.

Keyword

Urinary Incontinence, Stress; Urologic Surgical Procedures

MeSH Terms

Adult
Body Mass Index
Female
Follow-Up Studies
Humans
Middle Aged
*Suburethral Slings
Time Factors
Treatment Outcome
Urinary Bladder/metabolism
Urinary Incontinence, Stress/*surgery
Urologic Surgical Procedures/*methods

Reference

1. Petros PE, Ulmsten UI. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl. 1990. 153:7–31.

2. Petros PE, Ulmsten UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl. 1993. 153:1–93.

3. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996. 7:81–85.

4. Nilsson CG, Falconer C, Rezapour M. Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol. 2004. 104:1259–1262.

5. Tsivian A, Mogutin B, Kessler O, Korczak D, Levin S, Sidi AA. Tension-free vaginal tape procedure for the treatment of female stress urinary incontinence: long-term results. J Urol. 2004. 172:998–1000.

6. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol. 1999. 106:345–350.

7. Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2001. 12:Suppl 2. S5–S8.

8. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A. Standardisation Sub-Committee of the International Continence Society. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003. 61:37–49.

9. Stamey TA. Endoscopic suspension of the vesical neck for urinary incontinence in females. Report on 203 consecutive patients. Ann Surg. 1980. 192:465–471.

10. Bemelmans BL, Chapple CR. Are slings now the gold standard treatment for the management of female urinary stress incontinence and if is so what technique? Curr Opin Urol. 2003. 13:301–307.

11. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997. 1:15–21.

12. Karlovsky ME, Thakre AA, Rastinehad A, Kushner L, Badlani GH. Biomaterials for pelvic floor reconstruction. Urology. 2005. 66:469–475.

13. Dwyer PL. Evolution of biological and synthetic grafts in reconstructive pelvic surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2006. 17:Suppl 1. S10–S15.

14. Niknejad K, Plazk LS IIIrd, Staskin DR, Loughlin KR. Autologous and synthetic urethral slings for female incontinence. Urol Clin North Am. 2002. 29:597–611.

15. Ulmsten U. An introduction to tension-free vaginal tape (TVT)- a new surgical procedure for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2001. 12:Suppl 2. 3–4.

16. Lo TS, Wang AC, Liang CC, Long CY, Lee SJ. Treatment for unsuccessful tension-free vaginal tape operation by shortening pre-implanted tape. J Urol. 2006. 175:2196–2199.

17. Lo TS, Wang AC, Horng SG, Liang CC, Soong YK. Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT). Acta Obstet Gynecol Scand. 2001. 80:65–70.

18. Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001. 58:697–701.

19. Fischer A, Fink T, Zachmann S, Fickenbusch U. Comparison of retropubic and outside-in transobturator-sling systems for the cure of female genuine stress urinary incontinence. Eur Urol. 2005. 48:799–804.

20. Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Bourque JL, Tule M, Corcos J. Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int. 2004. 94:110–113.

21. Kuuva N, Nilsson CG. A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand. 2002. 81:72–77.

22. Segal JL, Vassallo B, Kleeman S, Silva WA, Karram MM. Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstet Gynecol. 2004. 104:1263–1269.