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.