Vaginal Tape Procedure for the Treatment of Stress Urinary Incontinence: Success Rate, Satisfaction and Complication

Yi, Jeong Won; Lee, Sun Ju

Abstract

PURPOSE
To evaluate the clinical outcome, patient's satisfaction and complications of vaginal tape procedure for the surgical treatment of female stress urinary incontinence. MATERIALS AND METHODS: 56 women with stress urinary incontinence underwent vaginal tape procedures. Preoperatively, patients were evaluated history taking, physical examination, one hour pad test and urodynamic study. Postoperative clinical outcome, patient's satisfaction, complications and success rates for Stamey grade, valsalva leak point pressure (VLPP), or maximal urethral colsing pressure (MUCP) were evaluated. RESULTS: 42 patients (75%) were cured, 8 patients (14.3%) were improved, and 6 patients (10.7%) were failed on 1 year after vaginal tape procedures. 43 patients (76.8%) were satisfied with vaginal tape procedure. Also, 43 patiens (76.8%) would like to recommend vaginal tape procedure to others. There was no significant difference of success rate according to Stamey grade, VLPP, MUCP (p>0.05). Postoperatively, voiding difficulty and urgency were newly developed at 3 (5%) and 4 (7%) patients respectively, and their satisfaction were lower than others. CONCLUSION: We considered that vaginal tape procedure was a safe, effective, and minimal invasive treatment for female stress urinary incontinence. But, careful attention to postoperative voiding difficulty and urgency might be needed to improve patient's satisfaction.