A commentary on “Long-term outcome of retropubic tension free vaginal tape for stress urinary incontinence after a trans obturator tape failure; a retrospective study”

Excerpt

This retrospective study aimed to investigate the efficacy and safety of a retropubic mid-urethral sling (RP-TVT) procedure after prior trans-obturator sling (TOT) failure for treating stress urinary incontinence. Fifty-one women who presented with persistent or recurrent stress urinary incontinence after a TOT procedure were recruited. All women received a comprehensive assessment including a pelvic examination, supine stress test, cystoscopy in case of irritative urinary symptoms, introital ultrasonography to assess the position of the first sling in case of voiding dysfunction, and a multichannel urodynamic study prior to the second procedure. Follow-up visits after RP-TVT were performed at 1, 6, and 12 months and yearly thereafter. …