' $%&!"# (TVT) Tension free vaginal tape () "#!$! () () =>09 :. ;. <6067 8 ())/01 230. ( )*+,-. )&*+ (TVT) Tension- free vaginal tape :%&' (! I G 2H $ & @ -2 8 ) TVT E F >A2E. D.& O ( 5, N, 6 M/K J4 (/ TVT WCV) N, 6!/U J4 / ST 8) A JP4 5( @ A2E QR : -( '() J/1 R Q )E X. 4 J/1 F AY) ' / 0/ &., (!V. JZ /R / [. X )P7 (%V/S) ]( S.( J )E (%V^) / ]( SC.) ( H4 C\WBU) H4 ST J/1 > 3 ) :' ( J/1 N, A ( J/1 >): (%^!) / a;b. ) ( ' (%C/`) ]( $ e) f.[( / d+ tape N,.( c / & & J[ & ()]1 8 G 9() (, indwelling ( / i,. =2(@ ()5g+ X 8 +H( h. j ), ( Y1 0)/+ ) h $. c2 e) $/ 8, h TVT J/1 :"0./.(. ) 6)/A 2AX 0 ]+ () c / J/1, () ( k TVT : / 01-2.) ' ( ( ( ) 86)), 7(/52 3 ) ( /'4 6: ;/1 6< ( 9 4 / 6@=')), ><?1.(C-B) A' %&' (! (TVT) Tension free vaginal tape % $.(!), +&( ' +&'( )* (Integral )*) )* $ %. -.
/... "3 2 1 ( >)Z ) 9() > 8 JZ./ 3 ), >u (9() >)Z 0G( u/c f )(+ W` IX 0G( u/c G ()]1 ) Pk.) ()]1 69 A F f + / 0/ WV 4 ), CU\ cc (k ' 3 ) (k ;n N, (/4 @ JP4 X. +[ J/1 JF. ( / 0G( J/1 N, T.( ] W^ J/1 N, $/Y. 'H J/1 JP4 8J/1 > ) / +(, J. f( J/1 N, $ v)1 BC (( "'B [ 3 ) $ ( A2E ST / SU.)) SD =V) 6 BV.), /, (C/V%) /, 2) (^`/C%) & N,s, 8)X / ( -. A2E 5;,)2).) (k 7(@ u/c X. 4 F Pk u/c /, 9 F 'O / ; f( ) ] > 7/( 0/.X. 4 /' AY) / /+ &<1 >.) 6 l &<1 Ingelman sund Berg &' % R ( [( ( A (!!) ) II. [X (/ $/Y () 8'E1 8X ' x@ ( ^\ [ T\ / / 2 Iy III y ([( a JP4 f( ( p- A2E 0G(,) )' / ; 0G( 3 ) ) s) (k >AY 7) Q<Z F ) 6 / 0/.((k.X. 4 )H )- 7(/ TVT J/1 Prolene, Ethicone, somervill, )$;,, ;, l m):n ) 3 ) ) ] (NJ, USA J/1 $.) 4 pr 9 or!^^b 6 8) &7 $/ @ 0G( p+ @ i( ) J 7( ; hf. ) % VUW^\ f.(b8u8t8`) 8 ) TVT E F >A2E TVT I G 2H $ & @ -2 ( 5, N, 6!/U J4 (/.& O -( A JP4 Z J, A2E $ : X. q( +A % / J/1 > > I ; 6 Q W! @ / '[( 8) 2 ' WC, (CU\ cc) a / (k 2 '. 0G( 8) 3 ) (k ;n N, (/4. ( WS / (V8^) /.( ] WB ( )' WU JZ)X / 0/ (!\) 0G( JX, +. T JZ)X @ 6P()!V!C 8 T 8 C 8]+ C ) J X. 4 ) J/1 A (+ :) &<1 ) / s), WT 8 )X 8 J IE4 t n ( '( &O<1 0.?@2AA F= D(&E No. of Age Panty No. of micturation per 24h Operation time
? /2*' ( " Women (year) Multiparous primiparous Pre operative post operative (min) ST BV (V) SU! T /V (!/U) U (C) ST (!C) * Values are given as mean (±SD) ( $ J )R 2 ) & I [( pr $2, )( XY 6)R Nz E4 u IE4 tape fix ( ),,) (.() 7( 69 / 7 Q 8J/1 R $ TVT J/1 &7 f s ()5g+ JZ /R () %P $ 4 / N,.).); J/1 N, A2E 2 } J/1 ~ () F 2 ()9() 1 CB /.( "#H "'B $ / +X 8 J/1 N,., a )R (k 2 '.( ] ( ) [( (CU\ cc).(!v) H; J )P7 %^\ JH2 2 ( [( ' R /. X )P7 (%^\ / 2) %`U J4.( ]. X. q( X )P7 )1 / ) )1 / )[( X / ~)X A. JP4 P'(. X. q( ( '. 7 J/1 ' 3 ).( 5,!V J4 / 0/ H4 ST ( J/1 6)2 ' J) J/1.) (H4 CUWBU) GE & () (@ JP4 1 &( / ;.( X '<X, 9() X. 4 ) )2 AY / ] AY) ' F 7(@ / ( Nz (!C) X. 4 %\/CU $2(@ % C $O); 8 %)@! cm 2)R h pr G 9 )!/U cm 6)R J() g4 ; ) BU lateral 7 v1 h A G N), (F P2 u) ( 5 U cm PH ;ZX! cm (k >Z 5[, 8)/( G ),,) 4 J rigid guide 2)X 7 $2, )( ) )P1 + 2 (k pf {; yu pr (k ( {2n / 69 h $2, )( m):n ) [5( /+ @ )P1 N, )P1 N), )n [, @ / ),,) h JF );,( X (k a @ 01 /R Nz )/( /R 6): >)Z 0G(,) )' )R $2, )( /+ ) (k a @ ) 01 J/1 $ [ ),,) h J u J $2, )( )R 0G( yu / N,. 4 [X G l[ pr 7 $2, )( <, ) /, 0 CU\ cc (k ),,) P'( pr $2, )( f/+ X l[ f [ 6 ' Volume at first desire Maxim urethral pressure at rest (cm H20) B ( BCD <00E F1 )6 D(&E Urethral length (mm) Urethral closure pressure at stress (cm H20) Residual volume (ml)
/... "3 2 < M cc (U\) T! (!C) C^ (T) ( /+ < \ C! (!U) * Values are given as mean (± SD) ) e) $/ P A >f. @ N, u +&( TVT TVT HX) f >A2E $.(!B8!U). hf. H4 C^WS` $ J/1 > % ^\ J/1 HX) H4 ST J/1 3 ) A2E & )/1 TVT J/1 f() f %V^ u) h 7 / h 4X ),?X J() G XR ),,) A2E /+ :n f() s)/a Haab F.sanaes et al A2E C\\ ml (C) ulmsten )R (!^)jomma A2E (!`)C\\ ml / f() 3 ) f A2E ) `U ml3 ) (%!B)/ U (%VT) 2 ;!\\ / / S!.) 2 ; S\\!\\ $ ( j J/1 $ /1 Y1 >A2E a;1 (C!)Raz et al (C\) Raccley et al A2E (.(!T) Boudtead GB et al (k a @ %C/U (CC) tutlikangas A2E )1 (k Y1 a @ %U (C) ulmsten A2E >A2E ( j (k a @ A2E G J/1 JF u) 0)/+ / %V (C8B)~)X / f( A2E X )P7 )n ) Z 04 0G( G ), 0)/+ %P ><[ $. pr 7., 0G( >A2E '( J/1 N, 6 /+ () / %^U (B8U8!^) @ > ( 9() ( ) ( G 9() ( / U >A2E. ) ).) C/S @ 3 ) ) Q)Y TVT J/1 / ' >.(C\8S8C) ) 0G(, )E J/1 $ )/1.)!/V ' > 3 ) A2E (%V/S) ]( S 8( (%V^) ]( SC 8/ ST )u 7 AY (%C/`) / X )P7 q( ( ' ( )P7 +A. X. U.[( +[ J/1 N, J/1 R (u v)1 (/4) > ) %P J/1 N, / ( S / >!\\ cc l Nz (, indwelling ( > 0)/+ /. 6( [( AY., X.)() j ), f() J/1 N, J/1 R.X $ ;.( ) (S\\ cc l) N, / 0/ (v)1 ) )- / fg.( c / J/1 I A +h 3 APR XA a;b ; 8 7 ( t +h A ( J/1 ( + / 8J/1 > J4 $ ) $/Y ) HX) k 8) ' > :n / h. f( 8 E G f@ $2, )( ] +h 6 ulmsten )'X, 3 ) $2 J/1 $. A2E i( 0G( O) s', 5[(!^^T 0) 6/1 P'( T.V.T [( ) ) : ;/ f J/1 $ :n f() / h HX 8J/1.( +2AX A [. ) ' >.(C) )1 VUW^\% J/1 $ HX)
A /2*' ( " "0./ tape ). J ohf ><[ I() ( +/ 3 ) @ >)Z )[ )!U\\\\ @ /4) +) J J[ $.( 01 8 +' a 01 f( $52 { 9)2)fX )(@ X >1<R +.@ [+=, 8)@ f 01 s {;n $::n. )[ 8);X );, W 9)2)(9 9)2)(9 ( f ) 7[, $ ~)X )A )[ +5[( );X );, &q ), h)@ () @ )) ::n. 8 $::n ;/1 )* + & X & v)1 /+ )n P'( h @ ;1. G 0s ( $ G ƒ @ ( 4 J >)Z 3HX )( $ ) /( s <Z N, %P ] e JZ h 5 &7 (..); J/1 $ [( N, )( ) d+ $ ), ) $2,) )( m N ) ;*' Pk +X $. ( <, l), 7[ -. + p<.) >] 7(@ +)( N ( ] + $.(Marlex- Mersilene Gorelex).(!TW!V) hf. %!\ )( N, f
/... "3 2 ; REFERENCES 1. Rezapour M, Ulmsten U. Tenision free vaginal tape (tvt) in women with recurrence stress urinary incontinence Along term follow up. Int urogynecology 2001; 2: 9-11. 2. Ulmsten U, Falconer C, Johnson P et al. A multi center study of TVT (tension free vaginal tape) for surgical treatment of stress urinary incontinence. Int urogynecology J 1998; 9: 210-213. 3. Wang AC, Lo Ts. Tension-free vaginal tape. A minimally invasive solution to stress urinary incontinence in women. J Reprod Med. 1998;106 : 207-209. 4. Ulmsten U, Johnson P, Rezapour M. A Three-year follows up of tension free vaginal tape for surgical treatment of female stress urinary 104 incontinence. Br J, Obstet Gynecol 1999; 106:207-209. 5. Olsson 1, Kroon U-B. A three-year postoperative evaluation of tension free vaginal tape Obstet Gynecol invest 1999; 48: 267-269. 6. Villet R, Fitremann C, Salet-lizee D, Collard D, Zafiropulo M. Un nouveau proce'de' de treatment de I'incontinence urinaire d' effort (IUE): soute'nement sous-ure'thral de prole'ne sous anesth'sie locale. Prog urol 1998; 8: 274-276. 7. Klutke JJ, carlin BI, Klutke CG. The tension-free vaginal tape procedure: correction of stress incontinence with minimal alteration in proximal urethral mobility. Urology 2000; 55: 512-514. 8. Khullar V, Salvatore S, Cardoso LD, Yip A, Kelleher CJ. The importance of urinary symptom and urodynamic parameters in quality of life assessment. Neurourol urodyn 1995; 14: 540-542. 9. Norgaard JP, Van Cool JD, Hjalmas K, Djuhuvs JD, Hellatrom A-L. Standardization and definitions in lower urinary tract dysfunction in children. Br J Urol 1998: 81(Suppl 3), 1-16. 10. Ulmsten U, Asmussen M, Lindstrom K. A new technique for simultaneous urocystometry and measurement of the urethral pressure profile. Urol Int 1977; 32: 88-92. 11. Ungleman -Sundberg A, Ulmsten U. Surgical treatment of female urinary stress incontinence. Contr Gynec Obstet 1983; 10: 51-69. 12. Ulmsten u, Henriksson L, Johnson P, Vahos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996; 7: 81-86. 13. Petros P, Ulmsen U. An integral theory of female urinary incontinence experimental and clinical considerations. Acta Obstet Gynecol scand 1990; 69(Suppl 153). 14. Petros P, Ulmsten U. Urethral pressure increase on effort originates from within the urethra and continence from muscilovaginal closure. Neurourol Urodyn 1995; 14: 337-350. 15. Ulmsten U, Johnson P, Rezapour M. A 3-year follow-up of TVT submitted for publication 1998. 16. Boustead GB. Tension free vaginal tape for treating female stress urinary incontinence. BJU 2002; 29: 687-693. 17. Haab F, Sananes S, Amarenco G. Results of the tension free vaginal tape procedure for the treatment of type II stress urinary incontinence a minimum follow up of 1 year. J Uro12001; 165: 159-162-62. 18. Boustead GB, Singh. Outcome of TVT sling procedure in a single uk institution.bju Int. 2000; 86: 77. 19. Jomman ; combined tension free vaginal tape and prolapse repair under local anesthesia in patients with symptoms of both urinary incontinence and prolapse. Gynecol obstet Inves. 2001;51(3):184-6. 20. Rackley RR, Abdelmalek JB, tchetgen MB, majors, joness, noble M; Tension Free vaginal tape and percutaneous vaginal tape sling. tech urol. 2001 ; 7:90-100. 21. Raz S, Radrigues LV.Berman J. polypropylene sling for treatment of stress urinary incontinence : an alternative to tension free vaginal tape. tech uro, 2001;7:87-90. 22. Tulikangas P.K, weber AM, ;larive AB : Intraoperative cystoscopy in conjunction with anti incontinence surgery. obstet Gycecol 2000; 95 : 794-6.