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Re: ? Failed TVT From: Mario Colombo, MD (emmecol@aliceposta.it) Sun Jan 11 03:33:09 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Laor: "Re: ? Failed TVT" Previous message: Abdul Raman Lilla: "Re: ? Failed TVT" Excluding a urinary fistula (very unlikely unless you performed also a vaginal hysterectomy) and taken for granted that the patient really has post-operative genuine stress incontinence (and not a form of detrusor instability), I simply believe that the operation has failed. It happens. I would wait 3 to 6 months and than I would perform a second TVT if stress incontinence persist. I recommend urodynamics before reoperation. -- Mario Colombo, MD Urogynecologic Unit San Gerardo Hospital Monza Italy >----- Original Message ----- From: "Abdul Raman Lilla" <arlilla@hotmail.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Sunday, January 11, 2004 9:03 AM Subject: Re: ? Failed TVT > I have done a tvt on a 34 year old woman who presented with a massive > cystocele and easily demonstrable stress incontinance. In fact her main > complain was the large cystocele. > I did an anterior as well as a posterior colporrhaphy on her and decided to > do a TVT as well, to my surprise she still has marked SI two days post-op, > what might be the reason? Is her SI likely to improve with time as healing > takes place? Next message: Laor: "Re: ? Failed TVT" Previous message: Abdul Raman Lilla: "Re: ? Failed TVT"

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