TENSION-FREE VAGINAL TAPE AND FEMALE STRESS URINARY INCONTINENCE. OUR INITIAL EXPERIENCE IN PAKISTAN
AbstractStress Urinary Incontinence (SUI) is the mostcommon form of urinary incontinence in women.Prevalence of urinary incontinence in women in UKand France is 32%1. Whereas SUI contributes about13.1% in Asian population, whereas, its prevalence inPakistan is about 11% (Reported by Asian Societyfor Female Urology ASFU).In order to rectify the negative impact ofSUI on an individual’s quality of life, many modes oftreatment have been devised. These include bothmedical therapy (non pharmacological andpharmacological) and surgical procedures. Surgicaltreatment offers the highest cure rate (85-90%) whencompared to medical options. Surgical treatmentsinclude three retropubic procedures: MarshallMarchetti-Kruntz vesicourethral suspension, Burchcolposuspension and laparoscopic retropubic repair.One of the newer and less invasive technique istension free vaginal tape (TVT), introduced for thefirst time by Ulmsten et al in Europe2. It is avariation of the traditional sling operation that is bestsuited for SUI patients that have urethral hypermobility in addition to sphincter insufficiency.Tension free vaginal tape has become increasinglypopular with both gynecologists and urologists acrossEurope. This gold standard technique has beenrecently introduced in Pakistan. We present a caseseries of six of our patients of SUI that weresuccessfully treated with TVT at Combined MilitaryHospital Peshawar.
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