Concomitant tension-free vaginal tape for urinary incontinence during laparoscopic hysterectomy.

OBJECTIVE

To evaluate the effectiveness and safety of placing tension-free vaginal tape (TVT) during a laparoscopically assisted vaginal hysterectomy (LAVH) in women with stress urinary incontinence and coexistent benign gynaecological disease.

DESIGN

Retrospective clinical study (Canadian Task Force classification II-2).

SAMPLE: Thirty patients diagnosed with genuine stress incontinence and benign gynaecological disease were studied.

METHODS

All the patients underwent LAVH and concomitant TVT procedure.

RESULTS

There was no significant difference in urodynamic parameters before and after surgery. All patients were followed postoperatively for a mean duration of 24.6 +/- 11.5 months (range 12-40). The cure rate of stress urinary incontinence was 96.7%.

CONCLUSIONS

Concomitant placement of tension-free vaginal tape during a laparoscopically assisted vaginal hysterectomy proved to be an efficacious and safe procedure for women with benign gynaecological disease and coexistent stress urinary incontinence.