The Three Years Results of Tension Free Vaginal Tape (TVT) for the Treatment of Stress Urinary Incontinence in Thai Women
Suvit Bunyavejchevin, MD, MHS*, Apirak Santingamkun, MD**, Wirach Wisawasukmongchol, MD*
Affiliation : * Department of Obstetric and Gynecology, Faculty of Medicine, Chulalongkorn University ** Urology Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University
Objective : To evaluate the three years result of TVT procedure in Thai women with genuine stress urinary
incontinence (SUI).
Materials and Methods : Sixty three women, aged 35-71 years attending the gynecology clinic at King
Chulalongkorn Hospital from February 2000 to May 2001 were recruited in the present study. Pre-operative
evaluation included history taking and physical examination. All had stress urinary incontinence
urodynamically confirmed genuine stress urinary incontinence and were treated with TVT. Follow up at 3, 6,
12, 18, 24, 30 and 36 months were scheduled after surgery.
Results : The mean + SD of operative time for TVT was 32.3 + 10.0 min the mean + SD of hospitalization was
1.8 + 2.0 days. Two patients had bladder perforations by the trocar without severe bleeding and needed no
reparation. No healing defect or rejection of the prolene mesh was found. The cure rate and improved rate
were 95.2% and 4.8% respectively (60 from 63 cases) at 3 years follow up.
Conclusion : The three years results revealed that TVT was effective and safe in the treatment of SUI in Thai
women.
Keywords : Tension free vaginal tape, Stress urinary incontinence
